Active NPI
Center Imt Jacksonville FL, P.a.
Doing business as Center IMT Jacksonville
- Physical Therapist
- Jacksonville, FL
National Provider Identifier
1063465540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Jacksonville Beach, FL
- NPI 1912092776
-
- Physical Therapist
- Asheville, NC
- NPI 1356423412
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
- Brandon Centeno, ATC, LAT
- Center for a Healthy Mind and Wellbeing LLC
- Center for Aging and Rehabilitation of Jacksonville Inc (Saints Care Center)
- Center for Health and Wellness
- Center for Medicine and Psychiatry
- Centerstone of Tennesse Inc.
- Centerwell Pharmacy, Inc. (Humana Pharmacy, Inc.)
- Centerwell Senior Primary Care FL JV PLLC (Conviva Philips Highway)
- Centerwell Senior Primary Care FL JV PLLC (Conviva San Jose)
- Centerwell Senior Primary Care FL JV PLLC (Conviva Atlantic)
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.