Organization Active NPI

Center Imt Jacksonville FL, P.a.

Doing business as Center IMT Jacksonville

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1063465540
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CENTER IMT JACKSONVILLE FL, P.A.
Doing business as
Center IMT Jacksonville
Practice address
1840 Southside Blvd
Building 2
Jacksonville, FL 32216-0317
Phone
(904) 726-0805
Fax
(904) 726-0828
NPI assigned
May 18, 2006
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lori Hamnann
Title
Physical Therapist
Phone
(904) 726-0805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1840 Southside Blvd
Building 2
Jacksonville, FL 32216-0317

Mailing address

1840 Southside Blvd
Building 2
Jacksonville, FL 32216-0317
Phone (904) 726-0805

Other names 1

  • Center IMT Jacksonville Doing business as

National Provider Directory

National Provider Directory

Locations

1840 Southside Blvd
Bldg 2
Jacksonville, FL 32216
Phone (904) 726-0805

3101 University Blvd S
Ste 106
Jacksonville, FL 32216
Phone (904) 726-0805

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1063465540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 SOUTHSIDE BLVD",
            "address_2": "BUILDING 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160317",
            "telephone_number": "904-726-0805",
            "fax_number": "904-726-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 SOUTHSIDE BLVD",
            "address_2": "BUILDING 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160317",
            "telephone_number": "904-726-0805",
            "fax_number": "904-726-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER IMT JACKSONVILLE FL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "HAMNANN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "904-726-0805"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center IMT Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.