Northside Physical Therapy and Rehabilitation, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NORTHSIDE PHYSICAL THERAPY AND REHABILITATION, INC

Practice address

752 W Plymouth Ave
Deland, FL 32720-3282

Phone

(386) 734-1136

Fax

(386) 734-2262

NPI assigned

Aug 4, 2009

Last updated

May 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul D Holland, P.T.NPI 1689677858

Title

President

Phone

(386) 734-1136

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Paul D Holland, PT

  • Physical Therapist
  • Deland, FL
  • NPI 1689677858
  Authorized official Same address or phone
• Don A Chute, PT

  • Physical Therapist
  • Deland, FL
  • NPI 1124151279
  NPD (past)
• James W Corwin, PT

  • Physical Therapist
  • Port Orange, FL
  • NPI 1558405233
  NPD (past)

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1316178783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203282",
            "telephone_number": "386-734-1136",
            "fax_number": "386-734-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203282",
            "telephone_number": "386-734-1136",
            "fax_number": "386-734-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE PHYSICAL THERAPY AND REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-734-1136",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Northland Hearing Centers, Inc. (Audibel Hearing Center)
• Now Showing (Now Ultrasound)
• Jasminia Magtoto Nuesa, MD
• Jose Enrique Nunez, PA-C
• Nursemd at Home, LLC
• Theresa Ann O'Conner

• Physical Therapist in Deland, FL
• Providers in Deland, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.