NPIMap

Organization Active NPI

Premier Physical Therapy and Rehabilitation of Jacksonville, Inc

Doing business as Premier Physical TTherapy

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1285062851
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PTA23828 Issued in FL
Legal business name
PREMIER PHYSICAL THERAPY AND REHABILITATION OF JACKSONVILLE, INC
Doing business as
Premier Physical TTherapy
Practice address
4320 Pablo Professional CT # 155
Jacksonville, FL 32224-3219
Phone
(904) 996-6922
Fax
(904) 996-6922
NPI assigned
Oct 17, 2013
Last updated
Feb 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Mrs. Kristie Arnold
Title
Office Manager
Phone
(904) 996-6922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PTA23828 FL Primary

Addresses

Primary practice location

4320 Pablo Professional CT # 155
Jacksonville, FL 32224-3219

Mailing address

13947 Beach Blvd Ste 109
Jacksonville, FL 32224-1201
Phone (904) 996-6922

Other names 1

  • Premier Physical TTherapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premier Physical Therapy and Rehabilitation of Jacksonville Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

13947 Beach Blvd
Ste 109
Jacksonville, FL 32224
Phone (561) 319-6984

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1285062851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13947 BEACH BLVD STE 109",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241201",
            "telephone_number": "904-996-6922",
            "fax_number": "904-996-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 PABLO PROFESSIONAL CT # 155",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322243219",
            "telephone_number": "904-996-6922",
            "fax_number": "904-996-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL THERAPY AND REHABILITATION OF JACKSONVILLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-996-6922",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PTA23828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Physical TTherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 29, 2024; 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.