Beyond Parkinsons LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BEYOND PARKINSONS LLC

Practice address

15175 Russell Bridge Dr
Jacksonville, FL 32259-7057

Phone

(904) 778-5157

NPI assigned

Aug 6, 2021

Organization subpart

No

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

Authorized official

Name

Divya Desai

Title

Manager

Phone

(904) 778-5157

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1285308783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15175 RUSSELL BRIDGE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322597057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15175 RUSSELL BRIDGE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322597057",
            "telephone_number": "904-778-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND PARKINSONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "DIVYA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-778-5157"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.