Organization Active NPI

Suncoast Physical Therapy LLC

  • Physical Therapist
  • Bradenton, FL
National Provider Identifier
1265864490
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUNCOAST PHYSICAL THERAPY LLC
Practice address
2215 59TH St W
Bradenton, FL 34209-7017
Phone
(941) 761-4994
NPI assigned
Jul 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Joel M Beary, MPT
Title
Owner
Phone
(941) 761-4994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2215 59TH St W
Bradenton, FL 34209-7017

Mailing address

3938 90TH Ave E
Parrish, FL 34219-2217
Phone (941) 761-4994

National Provider Directory

National Provider Directory

Locations

2215 59th St W
Bradenton, FL 34209
Phone (941) 753-0006

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1265864490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 90TH AVE E",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342192217",
            "telephone_number": "941-761-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097017",
            "telephone_number": "941-761-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "BEARY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-761-4994",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.