NPIMap

Organization Active NPI

TPD and DDD LLC

Doing business as Performance Physical Therapy of Ormond Beach

  • Physical Therapy Clinic/Center
  • Ormond Beach, FL
National Provider Identifier
1114102647
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT3807 Issued in FL
Legal business name
TPD AND DDD LLC
Doing business as
Performance Physical Therapy of Ormond Beach
Practice address
53 N Old Kings Rd
Suite a
Ormond Beach, FL 32174-9519
Phone
(386) 615-6464
Fax
(386) 615-1822
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Timothy D'Avy, P.T
Title
Owner
Phone
(386) 615-6464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT3807 FL Primary

Addresses

Primary practice location

53 N Old Kings Rd
Suite a
Ormond Beach, FL 32174-9519

Mailing address

53 N Old Kings Rd
Suite a
Ormond Beach, FL 32174-9519
Phone (386) 615-6464

Other names 1

  • PERFORMANCE PHYSICAL THERAPY OF ORMOND BEACH Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1114102647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 N OLD KINGS RD",
            "address_2": "SUITE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749519",
            "telephone_number": "386-615-6464",
            "fax_number": "386-615-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 N OLD KINGS RD",
            "address_2": "SUITE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749519",
            "telephone_number": "386-615-6464",
            "fax_number": "386-615-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TPD AND DDD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "D'AVY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-615-6464",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT3807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERFORMANCE PHYSICAL THERAPY OF ORMOND BEACH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.