NPIMap

Organization Active NPI

Request Physical Therapy

  • Physical Therapist
  • Gainesville, FL
National Provider Identifier
1245225085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
HCC1637 Issued in FL
Legal business name
REQUEST PHYSICAL THERAPY
Practice address
4820 Newberry Road
Gainesville, FL 32609
Phone
(352) 692-2155
Fax
(352) 371-9021
NPI assigned
Sep 19, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael A Ligmanowski, ATC
Title
Assistant Director
Phone
(352) 373-2116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X HCC1637 FL Primary

Addresses

Primary practice location

4820 Newberry Road
Gainesville, FL 32609

Mailing address

4820 Newberry Road
Gainesville, FL 32609
Phone (352) 373-2116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100916000407 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0244355089 Practice locations: Gainesville, FL; Newberry, FL

National Provider Directory

National Provider Directory

Locations

14910 Main St
Alachua, FL 32615
Phone (386) 462-0940

2441 NW 43rd St
Ste 27B
Gainesville, FL 32606
Phone (352) 377-3422

4820 Newberry Rd
Gainesville, FL 32607
Phone (352) 264-2499

12830 SW 1st Ln
Newberry, FL 32669
Phone (352) 373-2116

Practitioners & affiliated clinicians

Practitioners 98

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.

View all 98

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245225085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 NEWBERRY ROAD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32609",
            "telephone_number": "352-373-2116",
            "fax_number": "352-373-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 NEWBERRY ROAD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32609",
            "telephone_number": "352-692-2155",
            "fax_number": "352-371-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REQUEST PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIGMANOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "352-373-2116",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "HCC1637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.