NPIMap

Organization Active NPI

Equest Physical Therapy

  • Physical Therapy Clinic/Center
  • Palmetto, FL
National Provider Identifier
1093129181
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT21392 Issued in FL
Legal business name
EQUEST PHYSICAL THERAPY
Practice address
506 4TH Ave W
Palmetto, FL 34221-5203
Phone
(941) 729-1800
Fax
(941) 722-7844
NPI assigned
Jun 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
John Walz, MS PTNPI 1760581912
Title
Owner
Phone
(941) 744-9046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT21392 FL Primary

Addresses

Primary practice location

506 4TH Ave W
Palmetto, FL 34221-5203

Mailing address

2722 Manatee Ave W Ste 2
Bradenton, FL 34205-4945
Phone (941) 744-9046

National Provider Directory

National Provider Directory
Tax ID family
Equest Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2722 Manatee Ave W
Ste 2
Bradenton, FL 34205
Phone (941) 708-3335

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1093129181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 MANATEE AVE W STE 2",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054945",
            "telephone_number": "941-744-9046",
            "fax_number": "941-567-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 4TH AVE W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215203",
            "telephone_number": "941-729-1800",
            "fax_number": "941-722-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUEST PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "WALZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-744-9046",
        "authorized_official_credential": "MS PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT21392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.