Promobility Care Physical Therapy LLC

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

Legal business name

PROMOBILITY CARE PHYSICAL THERAPY LLC

Practice address

11204 58TH Street Cir E
Parrish, FL 34219-4513

Phone

(941) 447-0308

NPI assigned

Mar 5, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jamory Dacoco Duremdez

Title

Ceo

Phone

(941) 447-0308

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1235697574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11204 58TH STREET CIR E",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342194513",
            "telephone_number": "941-447-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11204 58TH STREET CIR E",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342194513",
            "telephone_number": "941-447-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMOBILITY CARE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "DUREMDEZ",
        "authorized_official_first_name": "JAMORY",
        "authorized_official_middle_name": "DACOCO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-447-0308",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.