Organization Active NPI

Palm Coast Mobile Physical Therapy Services

  • Physical Therapy Clinic/Center
  • Palm Coast, FL
National Provider Identifier
1144907981
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PALM COAST MOBILE PHYSICAL THERAPY SERVICES
Practice address
17 Cherrytree CT
Palm Coast, FL 32137-9050
Phone
(407) 718-1910
NPI assigned
Jul 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Jennifer Lynn ElfrinkNPI 1679081616
Title
Owner
Phone
(407) 718-1910

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 Primary

Addresses

Primary practice location

17 Cherrytree CT
Palm Coast, FL 32137-9050

Mailing address

17 Cherrytree CT
Palm Coast, FL 32137-9050
Phone (407) 718-1910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230913003435 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9537523212 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Coast, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1144907981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CHERRYTREE CT",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321379050",
            "telephone_number": "407-718-1910",
            "fax_number": "386-610-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CHERRYTREE CT",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321379050",
            "telephone_number": "407-718-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM COAST MOBILE PHYSICAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "ELFRINK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-718-1910"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.