Active NPI
Jeffrey Flores
- Physical Therapist
- Winter Haven, FL
National Provider Identifier
1235709163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21276
- Practice address
- 330 Avenue C SE
Winter Haven, FL 33880-3243 - Phone
- (863) 268-2903
- NPI assigned
- Jul 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT21276 | FL | Primary |
Addresses
Primary practice location
330 Avenue C SE
Winter Haven, FL 33880-3243
Mailing address
1750 Altavista Cir
Lakeland, FL 33810-2793
Phone (863) 430-1409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT21276 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Language & Literacy Academy for Learning, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Winter Haven, FL
- NPI 1023512738
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1235709163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 ALTAVISTA CIR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338102793",
"telephone_number": "863-430-1409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 AVENUE C SE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338803243",
"telephone_number": "863-268-2903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-01",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT21276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
- Lisa Marie Fish, RD, LDN
- Mark Allen Fitez
- Courtney C Fitz
- Five Star Professional Home Care Staffing 2
- Khalilah Yvonne Flagg
- Ian Lawrence Medina Floresta, PHARMD
- Florida Cancer Physicians Network LLC
- Florida Care Services, LLC
- Florida ENT Associates, Inc. (South Florida ENT Associates, Inc.)
- Florida Joint & Spine Institute PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.