NPIMap

Organization Active NPI

Center for Orthopedic and Sports Physical Therapy P a

  • Physical Therapist
  • Tallahassee, FL
National Provider Identifier
1114001377
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2671 Issued in FL
Legal business name
CENTER FOR ORTHOPEDIC AND SPORTS PHYSICAL THERAPY P A
Practice address
2615 Centennial Blvd
Suite 101
Tallahassee, FL 32308-0586
Phone
(850) 656-1837
Fax
(850) 877-2917
NPI assigned
Oct 24, 2006
Last updated
Mar 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Ms. Kaitlin R Scarbary, ADMINISTRATOR
Title
Administrator
Phone
(850) 656-1837

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2671 FL Primary
Physical Therapist 225100000X PT11534 FL

Addresses

Primary practice location

2615 Centennial Blvd
Suite 101
Tallahassee, FL 32308-0586

Mailing address

2615 Centennial Blvd
Suite 101
Tallahassee, FL 32308-0586
Phone (850) 656-1837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080702000084 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7810069127 Receives reassigned benefits from 32 practitioners
Practice locations: Tallahasse, FL

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1834A Jaclif Ct
Ste A
Tallahassee, FL 32308

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1114001377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 CENTENNIAL BLVD",
            "address_2": "SUITE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080586",
            "telephone_number": "850-656-1837",
            "fax_number": "850-817-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 CENTENNIAL BLVD",
            "address_2": "SUITE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080586",
            "telephone_number": "850-656-1837",
            "fax_number": "850-877-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ORTHOPEDIC AND SPORTS PHYSICAL THERAPY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "SCARBARY",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-656-1837",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT2671",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT11534",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.