Central Florida Sports & Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10828 Issued in FL

Legal business name

CENTRAL FLORIDA SPORTS & PHYSICAL THERAPY LLC

Practice address

4237 13TH St
Saint Cloud, FL 34769-6732

Phone

(407) 957-6290

Fax

(407) 891-9183

NPI assigned

Dec 28, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Martha Kathleen Jarvis, MS, PT, ATC, LATNPI 1598826083

Title

President

Phone

(407) 957-6290

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martha Kathleen Jarvis, MS PT ATCL

  • Physical Therapist
  • Saint Cloud, FL
  • NPI 1598826083
  Medicare reassignment NPD Authorized official
• Brittany Ann Minter, DPT

  • Physical Therapist
  • Brandon, FL
  • NPI 1811592041
  Medicare reassignment NPD
• Matthew Bradley Hennings, PT, DPT

  • Physical Therapist
  • Salem, OR
  • NPI 1841503422
  NPD (past)

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1205172947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700097",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347700097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4237 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696732",
            "telephone_number": "407-957-6290",
            "fax_number": "407-891-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA SPORTS & PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-957-6290",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, PT, ATC, LAT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Crystal Centonzio Cruet
• Central Florida Infectious Disease Consultants Inc
• Central Florida Internists, Inc. (Central Florida Internists- St. Cloud)
• Central Florida Internists, Inc. (Emergency One Urgent Care, LLC)
• Central Florida Internists, Inc.
• Amanda Lynn Ceri, OTA
• Crystal M Ceri, RCS
• Valerie Cervantes, BS
• Dayana Cevertus
• Nancy Chabrier

• Physical Therapist in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.