Organization Active NPI

Central Florida Physical Therapy

  • Physical Therapist
  • Casselberry, FL
National Provider Identifier
1154592046
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2641 Issued in FL
Legal business name
CENTRAL FLORIDA PHYSICAL THERAPY
Practice address
2911 Red Bug Lake Rd
Suite 400
Casselberry, FL 32707-5929
Phone
(407) 696-0241
Fax
(407) 696-0325
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Andrea Jeffrey
Title
Billing Manager
Phone
(407) 925-3706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT2641 FL Primary

Addresses

Primary practice location

2911 Red Bug Lake Rd
Suite 400
Casselberry, FL 32707-5929

Mailing address

2911 Red Bug Lake Rd
Suite 400
Casselberry, FL 32707-5929
Phone (407) 696-0241

National Provider Directory

National Provider Directory

Locations

2911 Red Bug Lake Rd
Ste 400
Casselberry, FL 32707
Phone (407) 696-0241

Practitioners & affiliated clinicians

Practitioners 2

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": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1154592046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 RED BUG LAKE RD",
            "address_2": "SUITE 400",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075929",
            "telephone_number": "407-696-0241",
            "fax_number": "407-696-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 RED BUG LAKE RD",
            "address_2": "SUITE 400",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075929",
            "telephone_number": "407-696-0241",
            "fax_number": "407-696-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "JEFFREY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "407-925-3706"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT2641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.