Varsityone Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

P12000082003 Issued in FL

Legal business name

VARSITYONE INC

Practice address

433 N Causeway
New Smyrna Beach, FL 32169-5266

Phone

(386) 410-4904

NPI assigned

Jan 20, 2013

Organization subpart

No

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

Authorized official

Name

Sandra Huggard

Title

PT

Phone

(386) 410-4904

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1358640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358640000000",
    "number": "1255679635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N CAUSEWAY",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321695266",
            "telephone_number": "386-410-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N CAUSEWAY",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321695266",
            "telephone_number": "386-410-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARSITYONE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-20",
        "last_updated": "2013-01-20",
        "status": "A",
        "authorized_official_last_name": "HUGGARD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "386-410-4904"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "P12000082003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2013; 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.