Active NPI
John L Payne, P.T.
- Physical Therapist
- St Pete Beach, FL
National Provider Identifier
1003830324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 28370
- Practice address
- 575 75TH Ave
Suncoast Fitness, Inc.
St Pete Beach, FL 33706-1833 - Phone
- (727) 367-0075
- Fax
- (727) 367-0402
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 28370 | FL | Primary |
Addresses
Primary practice location
575 75TH Ave
Suncoast Fitness, Inc.
St Pete Beach, FL 33706-1833
Mailing address
575 75TH Ave
Suncoast Fitness, Inc.
St Pete Beach, FL 33706-1833
Phone (727) 367-0075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174173 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1003830324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 75TH AVE",
"address_2": "SUNCOAST FITNESS, INC.",
"city": "ST PETE BEACH",
"state": "FL",
"postal_code": "337061833",
"telephone_number": "727-367-0075",
"fax_number": "727-367-0402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 75TH AVE",
"address_2": "SUNCOAST FITNESS, INC.",
"city": "ST PETE BEACH",
"state": "FL",
"postal_code": "337061833",
"telephone_number": "727-367-0075",
"fax_number": "727-367-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "JOHN",
"middle_name": "L",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 28370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174173",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Pete Beach, FL
- Medical Dietitians LLC
- Mgroup Integrated Physician Services, LLC
- Mgroup Integrated Physician Services, PA
- Mgroup Physician Services of Florida, PLLC
- Dwayne Edward Pate, PHARMD
- John Henry Penny, D.D.S.
- Pinellas Regional Anesthesia Associates LLC
- Kristina R Potter-Martino, D.O.
- Audra Lina Radvil
- Michael I. Rauchway, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.