Active NPI
Anthony M Vogt
- Physical Therapist
- Jacksonville, FL
National Provider Identifier
1033464953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT27570
- Practice address
- 3901 University Blvd S
Jacksonville, FL 32216-4312 - Phone
- (904) 345-7200
- NPI assigned
- Jul 17, 2012
- 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 | PT27570 | FL | Primary |
Addresses
Primary practice location
3901 University Blvd S
Jacksonville, FL 32216-4312
Mailing address
3901 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7200
Other practice location 1
1885 S 14th St
Fernandina Beach, FL 32034-3033
Phone (904) 277-4449
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
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1033464953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32216",
"telephone_number": "904-345-7200",
"fax_number": "904-345-7240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164312",
"telephone_number": "904-345-7200"
}
],
"practiceLocations": [
{
"address_1": "1885 S 14th St",
"address_purpose": "LOCATION",
"city": "Fernandina Beach",
"state": "FL",
"postal_code": "320343033",
"country_code": "US",
"telephone_number": "904-277-4449",
"fax_number": "904-277-4177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOGT",
"first_name": "ANTHONY",
"middle_name": "M",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT27570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Tuan Anh Thi Vo, PHARM.D.
- Vocational Development Group, LLC (InBloom Autism Services)
- Vocational Development Group, LLC (InBloom Autism Services)
- Michael Shane Vogel, IDC
- Amanda Vogelsong
- Kevin Michael Vogt, MD
- Sarah Ann Vohrer, FNP-C
- Connor James Voirin, DO
- Lods Volcy, QASP
- Volland & Associates Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.