Comprehensive Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

COMPREHENSIVE PHYSICAL THERAPY, INC

Practice address

37104 Clinton Ave
Dade City, FL 33525-5911

Phone

(352) 521-0627

Fax

(352) 521-5958

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Deborah A Knickerbocker

Title

Administrator

Phone

(352) 521-0627

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1194902817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1001",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335261001",
            "telephone_number": "352-521-0627",
            "fax_number": "352-521-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37104 CLINTON AVE",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335255911",
            "telephone_number": "352-521-0627",
            "fax_number": "352-521-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "KNICKERBOCKER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-521-0627"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "PT3564",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheldon Keith Coffman Jr., RPH
• Emily Ann Cohen-Wilinsky, LMHC
• Brandy Numaria Shami Colbert
• Yordenys Collazo Eijo
• Community Aging & Retirement Services, Inc
• Comprehensive Spine & Sport Injury Rehab, LLC
• Darlene Conde-Nadeau, APRN
• Brian E Connelly
• Rebecca Conner, LMHC
• Elizabeth P Connor, APRN

• Physical Therapy Clinic/Center in Dade City, FL
• Providers in Dade City, FL by specialty
• Physical Therapy Clinic/Center in Florida

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