Treaure Coast Therapists LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT664 Issued in FL

Legal business name

TREAURE COAST THERAPISTS LLC

Practice address

420 Sopwith Dr
Vero Beach, FL 32968-9115

Phone

(772) 216-4339

NPI assigned

Jan 31, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Jean Burdsall

Title

Owner

Phone

(772) 216-4339

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1194097501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SOPWITH DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329689115",
            "telephone_number": "772-216-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SOPWITH DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329689115",
            "telephone_number": "772-216-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREAURE COAST THERAPISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "BURDSALL",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-216-4339",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OT664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.