NPIMap

Organization Active NPI

Atlas Physical Therapy & Sports Medicine Inc

  • Physical Therapist
  • St Augustine, FL
National Provider Identifier
1184214546
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATLAS PHYSICAL THERAPY & SPORTS MEDICINE INC
Practice address
110 Cumberland Park Dr Ste 304
St Augustine, FL 32095-8902
Phone
(904) 292-0195
Fax
(904) 292-0566
NPI assigned
Jan 20, 2021
Last updated
Jan 20, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLAS PHYSICAL THERAPY & SPORTS MEDICINE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Lori A Windstein
Title
Billing Director
Phone
(904) 292-0195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

110 Cumberland Park Dr Ste 304
St Augustine, FL 32095-8902

Mailing address

12421 San Jose Blvd Ste 100
Jacksonville, FL 32223-8662
Phone (904) 292-0195

National Provider Directory

National Provider Directory
Tax ID family
Atlas Physical Therapy2 organizations share this tax ID, including this one
Part of
Atlas Physical Therapy

Other organizations with this tax ID 1

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

Locations

110 Cumberland Park Dr
Ste 304
St Augustine, FL 32095
Phone (904) 292-0195

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1184214546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12421 SAN JOSE BLVD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238662",
            "telephone_number": "904-292-0195",
            "fax_number": "904-292-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CUMBERLAND PARK DR STE 304",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958902",
            "telephone_number": "904-292-0195",
            "fax_number": "904-292-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS PHYSICAL THERAPY & SPORTS MEDICINE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLAS PHYSICAL THERAPY & SPORTS MEDICINE INC",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "WINDSTEIN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "904-292-0195"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.