NPIMap

Organization Active NPI

Integrated Physical Therapy Services of North Florida, LLC

  • Physical Therapy Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1255759833
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PTA19946 Issued in FL
Legal business name
INTEGRATED PHYSICAL THERAPY SERVICES OF NORTH FLORIDA, LLC
Practice address
5939 Roosevelt Blvd
Jacksonville, FL 32244
Phone
(904) 233-6788
NPI assigned
Apr 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Authorized official

Name
Mr. Dell Andrew Jarvis, PTA
Title
Managing Partner
Phone
(904) 624-7674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PTA19946 FL Primary

Addresses

Primary practice location

5939 Roosevelt Blvd
Jacksonville, FL 32244

Mailing address

11 Crazy Horse CT
Palm Coast, FL 32137-9009
Phone (904) 625-7674

National Provider Directory

National Provider Directory
Tax ID family
Balanced Therapy and Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5939 Roosevelt Blvd
Jacksonville, FL 32244
Phone (904) 233-6788

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1255759833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CRAZY HORSE CT",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321379009",
            "telephone_number": "904-625-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5939 ROOSEVELT BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32244",
            "telephone_number": "904-233-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PHYSICAL THERAPY SERVICES OF NORTH FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "DELL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "904-624-7674",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PTA19946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.