Physical Therapy Professionals & Associates, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL THERAPY PROFESSIONALS & ASSOCIATES, INC.

Practice address

1 Florida Park Dr N Ste 110
Palm Coast, FL 32137-3844

Phone

(386) 447-7824

Fax

(386) 447-7864

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Miss Emelda C. Dinopol, PTNPI 1487670154

Title

PT/President

Phone

(386) 447-7824

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Palm Coast Physical Therapy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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

• Emelda C Dinopol, PT

  • Physical Therapist
  • Palm Coast, FL
  • NPI 1487670154
  Medicare reassignment NPD Authorized official
• Gina Layague, P.T.

  • Physical Therapist
  • Palm Coast, FL
  • NPI 1720376502
  NPD (past)
• Robert Raymond Powell, P.T.

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1427246537
  NPD (past)
• Daryl Lawrence Vergara, P.T.A.

  • Physical Therapy Assistant
  • Palm Coast, FL
  • NPI 1588010904
  NPD (past)
• Michael Todd Schirf, PT, DPT, OCS

  • Physical Therapist
  • Frederick, MD
  • NPI 1689008815
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1174540934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FLORIDA PARK DR N STE 110",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373844",
            "telephone_number": "386-447-7824",
            "fax_number": "386-447-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FLORIDA PARK DR N STE 110",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373844",
            "telephone_number": "386-447-7824",
            "fax_number": "386-447-7864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4721 E Moody Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Bunnell",
            "state": "FL",
            "postal_code": "321107706",
            "country_code": "US",
            "telephone_number": "386-447-7824",
            "fax_number": "386-447-7864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "84 Pinnacles Dr Bldg A",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321642324",
            "country_code": "US",
            "telephone_number": "386-447-7824",
            "fax_number": "386-447-7864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICAL THERAPY PROFESSIONALS & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "DINOPOL",
        "authorized_official_first_name": "EMELDA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PT/PRESIDENT",
        "authorized_official_telephone_number": "386-447-7824",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10906",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "K2807",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Coast Physical Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palm Coast Physical Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karna Jo Pfisterer
• Julie Anderson Philip, DNP, AG-ACNP
• Andy Littleton Phillips, MS
• Phoenix Primary Care LLC
• Physical Therapy & Wellness in Motion, Inc
• Physical Therapy Specialists, LLC
• Aurora Picardat, APRN
• Bryana Picciarelli
• Claudia G Pierce
• Sophia Pierce, DC

• Physical Therapist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.