NPIMap

Organization Active NPI

CPT of Jacksonville Inc

Doing business as Center For Physical Therapy

  • Physical Therapy Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1326035924
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CPT OF JACKSONVILLE INC
Doing business as
Center For Physical Therapy
Practice address
3716 University Blvd S
Suite 4
Jacksonville, FL 32216-4355
Phone
(904) 733-8133
NPI assigned
Sep 29, 2005
Last updated
Nov 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Mr. Sam Rogozinski
Title
Ceo
Phone
(904) 733-8133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X FL Primary

Addresses

Primary practice location

3716 University Blvd S
Suite 4
Jacksonville, FL 32216-4355

Mailing address

3716 University Blvd S
Suite 4
Jacksonville, FL 32216-4355
Phone (904) 733-8133

Other identifiers 1

IdentifierTypeStateIssuer
Q 34OtherFLBLUE CROSS BLUE SHIELD ID

Other names 1

  • Center For Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

3716 University Blvd S
Ste 4
Jacksonville, FL 32216
Phone (904) 733-8133

Practitioners & affiliated clinicians

Practitioners 5

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": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1326035924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 UNIVERSITY BLVD S",
            "address_2": "SUITE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164355",
            "telephone_number": "904-733-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 UNIVERSITY BLVD S",
            "address_2": "SUITE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164355",
            "telephone_number": "904-733-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPT OF JACKSONVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "ROGOZINSKI",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-733-8133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "Q 34",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center For Physical Therapy",
            "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 Nov 19, 2008; 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.