Community Choice Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22714 Issued in FL

Legal business name

COMMUNITY CHOICE PHYSICAL THERAPY LLC

Practice address

2500 W Lake Mary Blvd
Suite 108
Lake Mary, FL 32746-3501

Phone

(407) 574-3181

NPI assigned

Oct 2, 2010

Last updated

Jan 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edwin Juste, D.C

Title

Partner

Phone

(407) 574-3181

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Marjorie Diaz, PT

  • Physical Therapist
  • Lake Mary, FL
  • NPI 1699740571
  NPD (past)

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

{
    "created_epoch": "1285977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1225347628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 SAN JACINTO CIR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716124",
            "telephone_number": "407-574-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W LAKE MARY BLVD",
            "address_2": "SUITE 108",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463501",
            "telephone_number": "407-574-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHOICE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-02",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "JUSTE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "407-574-3181",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "22714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.