Organization Active NPI

Avery Partners, Inc

Doing business as Avery Rehabilitation

  • Physical Therapy Clinic/Center
  • Newberry, FL
National Provider Identifier
1184011256
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
AVERY PARTNERS, INC
Doing business as
Avery Rehabilitation
Practice address
22 SW 258TH St
Newberry, FL 32669-4133
Phone
(352) 474-6111
Fax
(352) 474-6112
NPI assigned
Apr 16, 2015
Last updated
Apr 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Mr. Jeff Moore
Title
Ceo
Phone
(678) 639-5809

Specialties & licenses 1

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

Addresses

Primary practice location

22 SW 258TH St
Newberry, FL 32669-4133

Mailing address

1455 Old Alabama Rd
Suite 160
Roswell, GA 30076-2129
Phone (352) 474-6111

Other names 1

  • Avery Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Avery Rehabilitation16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1184011256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 OLD ALABAMA RD",
            "address_2": "SUITE 160",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762129",
            "telephone_number": "352-474-6111",
            "fax_number": "352-474-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SW 258TH ST",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326694133",
            "telephone_number": "352-474-6111",
            "fax_number": "352-474-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY PARTNERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-639-5809",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avery Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.