Organization Active NPI

Conquest Clinics LLC

  • Rehabilitation Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1265863765
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
CONQUEST CLINICS LLC
Practice address
1408 N Piedmont Way
Tallahassee, FL 32308-7974
Phone
(727) 692-6197
NPI assigned
Dec 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Jacob Vanlandingham
Title
Founder
Phone
(850) 544-2962

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X
Physical Therapy Clinic/Center 261QP2000X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1408 N Piedmont Way
Tallahassee, FL 32308-7974

Mailing address

1408 N Piedmont Way
Tallahassee, FL 32308-7974
Phone (727) 692-6197

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1265863765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 N PIEDMONT WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087974",
            "telephone_number": "727-692-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 N PIEDMONT WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087974",
            "telephone_number": "727-692-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONQUEST CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "VANLANDINGHAM",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "850-544-2962"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.