Organization Active NPI

Regional Lymphedema Center, LLC

  • Physical Therapist
  • Spring Hill, FL
National Provider Identifier
1174573695
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0004876 Issued in FL
Legal business name
REGIONAL LYMPHEDEMA CENTER, LLC
Practice address
10441 Quality Dr
Suite 200
Spring Hill, FL 34609-9656
Phone
(352) 688-8066
Fax
(352) 688-8540
NPI assigned
May 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles D Donley, P.T.
Title
President
Phone
(352) 688-8066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT0004876 FL Primary

Addresses

Primary practice location

10441 Quality Dr
Suite 200
Spring Hill, FL 34609-9656

Mailing address

14048 Kane Rd
Spring Hill, FL 34609-7928
Phone (352) 688-8066

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174573695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14048 KANE RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346097928",
            "telephone_number": "352-688-8066",
            "fax_number": "352-688-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10441 QUALITY DR",
            "address_2": "SUITE 200",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346099656",
            "telephone_number": "352-688-8066",
            "fax_number": "352-688-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL LYMPHEDEMA CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONLEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-688-8066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0004876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.