Atlantic Coast Physical Therapy Services LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT20519 Issued in FL

Legal business name

ATLANTIC COAST PHYSICAL THERAPY SERVICES LLC

Practice address

13595 Atlantic Blvd
Suite B
Jacksonville, FL 32225-3256

Phone

(904) 221-4046

Fax

(904) 221-4056

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dell A Jarvis, PTA

Title

Director

Phone

(904) 221-4046

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Atlantic Coast Physical Therapy Services LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1598399651
  NPPES parent name

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1336337864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13595 ATLANTIC BLVD",
            "address_2": "SUITE B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322253256",
            "telephone_number": "904-221-4046",
            "fax_number": "904-221-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13595 ATLANTIC BLVD",
            "address_2": "SUITE B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322253256",
            "telephone_number": "904-221-4046",
            "fax_number": "904-221-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC COAST PHYSICAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "DELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-221-4046",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT20519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reagan Cherry Atkinson, PT, DPT, ATC
• Atkinson's Home Health Care, Inc.
• Atlantic Balance and Hearing
• Atlantic Coast Cardiology LLC
• Atlantic Coast Medical Rehab
• Atlantic Coast Physical Therapy Services LLC
• Atlantic Dentistry PA
• Atlantic Eye Institute P.a.
• Atlantic Eye Institute P.a.
• Atlantic Eye Institute P.a.

• Physical Therapy Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.