Active NPI
Eric M Finch, PTA,CLT
- Physical Therapy Assistant
- Penny Farms, FL
National Provider Identifier
1235756396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA27131
- Practice address
- 3 North Pavilion Place
Penny Farms, FL 32079 - Phone
- (904) 284-5994
- NPI assigned
- Jul 6, 2020
- Last updated
- Jul 6, 2020
- 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 Therapy Assistant | 225200000X | PTA27131 | FL | Primary |
Addresses
Primary practice location
3 North Pavilion Place
Penny Farms, FL 32079
Mailing address
8599 A C Skinner Pkwy Unit 1215
Jacksonville, FL 32256-0854
Phone (540) 850-5789
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 |
|---|---|---|---|
| PTA27131 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1235756396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8599 A C SKINNER PKWY UNIT 1215",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560854",
"telephone_number": "540-850-5789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 NORTH PAVILION PLACE",
"city": "PENNY FARMS",
"state": "FL",
"postal_code": "32079",
"telephone_number": "904-284-5994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINCH",
"first_name": "ERIC",
"middle_name": "M",
"credential": "PTA,CLT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-06",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA27131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Penny Farms, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.