Organization Active NPI

Hoffman Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Port Orange, FL
National Provider Identifier
1245429992
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT22239 Issued in FL
Legal business name
HOFFMAN PHYSICAL THERAPY, LLC
Practice address
5100 S Clyde Morris Blvd
Suite 200
Port Orange, FL 32127-2911
Phone
(386) 304-8112
Fax
(386) 304-8014
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Adam M Hoffman, PT
Title
Owner/Physical Therapist
Phone
(386) 304-8112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT22239 FL Primary

Addresses

Primary practice location

5100 S Clyde Morris Blvd
Suite 200
Port Orange, FL 32127-2911

Mailing address

5100 S Clyde Morris Blvd
Suite 200
Port Orange, FL 32127-2911
Phone (386) 304-8112

National Provider Directory

National Provider Directory

Locations

5100 S Clyde Morris Blvd
Ste 200
Pt Orange, FL 32127
Phone (386) 304-8112

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1245429992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 S CLYDE MORRIS BLVD",
            "address_2": "SUITE 200",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272911",
            "telephone_number": "386-304-8112",
            "fax_number": "386-304-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 S CLYDE MORRIS BLVD",
            "address_2": "SUITE 200",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272911",
            "telephone_number": "386-304-8112",
            "fax_number": "386-304-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOFFMAN PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "386-304-8112",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT22239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.