Inner Strength Physical Therapy, LLC.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT27447 Issued in FL

Legal business name

INNER STRENGTH PHYSICAL THERAPY, LLC.

Practice address

64 Tarpon Bay CT
Ponte Vedra, FL 32081-1505

Phone

(440) 463-6272

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

Samantha Joy Moon, DPTNPI 1720258874

Title

Physical Therapist, Owner

Phone

(440) 463-6272

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Samantha J Moon, DPT

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1720258874
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1275083206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 TARPON BAY CT",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811505",
            "telephone_number": "440-463-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 TARPON BAY CT",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811505",
            "telephone_number": "440-463-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER STRENGTH PHYSICAL THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "440-463-6272",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT27447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary D Huszcza, OTR L
• Antwiwa Hyman, M.S. CCC-SLP
• Igor Melnychuk MD PA
• Lyndsey Ingram, DPT
• Cynthia Lyn Inks
• Integrated Health Clinical Counseling P.L.L.C.
• Jacksonville Orthopaedic Institute Inc
• Jax Psychiatry LLC
• Jax Senior Care LLC
• Monique Y Jefferson, M.D.

• Physical Therapy Clinic/Center in Ponte Vedra, FL
• Providers in Ponte Vedra, 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 Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.