Organization Active NPI

Florida Movement Therapy Center-Plantation, LLC

  • Neurology Physical Therapist
  • Plantation, FL
National Provider Identifier
1285146431
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
Legal business name
FLORIDA MOVEMENT THERAPY CENTER-PLANTATION, LLC
Practice address
1825 N Pine Island Rd
Plantation, FL 33322-5207
Phone
(561) 510-7136
Fax
(561) 510-7152
NPI assigned
Oct 27, 2017
Last updated
Oct 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Authorized official

Name
Jodi Gray, PT
Title
Clinic Director
Phone
(561) 510-7138

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X NU Primary
Neurorehabilitation Occupational Therapist 225XN1300X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

1825 N Pine Island Rd
Plantation, FL 33322-5207

Mailing address

12040 S Jog Rd Ste 7
Boynton Beach, FL 33437-4164
Phone (561) 510-7138

National Provider Directory

National Provider Directory

Locations

12040 S Jog Rd
Ste 7
Boynton Beach, FL 33437
Phone (561) 733-5083

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1285146431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12040 S JOG RD STE 7",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334374164",
            "telephone_number": "561-510-7138",
            "fax_number": "561-510-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 N PINE ISLAND RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225207",
            "telephone_number": "561-510-7136",
            "fax_number": "561-510-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA MOVEMENT THERAPY CENTER-PLANTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "561-510-7138",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.