Mount Dora Physical Therapy Specialists Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

P11000098797 Issued in FL

Legal business name

MOUNT DORA PHYSICAL THERAPY SPECIALISTS INC

Practice address

2012 N Donnelly St
Mount Dora, FL 32757-2824

Phone

(352) 729-3565

NPI assigned

Jan 26, 2012

Last updated

Jun 5, 2013By 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

William David Moulder, P.T.NPI 1083929673

Title

Director

Phone

(352) 729-3565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• William David Moulder, P.T.

  • Physical Therapist
  • Mount Dora, FL
  • NPI 1083929673
  Medicare reassignment Care Compare group NPD Authorized official
• Ana Paula Vivira Bruder Moulder, P.T.

  • Physical Therapist
  • Mount Dora, FL
  • NPI 1538474499
  Medicare reassignment Care Compare group NPD
• Rick Minniear, P.T.

  • Physical Therapist
  • Leesburg, FL
  • NPI 1346569209
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1336411065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1478",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327561478",
            "telephone_number": "352-729-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 N DONNELLY ST",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572824",
            "telephone_number": "352-729-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT DORA PHYSICAL THERAPY SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "MOULDER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-729-3565",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "P11000098797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mount Dora Dental & Dentures (Affordable Dental Care)
• Mount Dora Family Dental PLLC
• Mount Dora Family Practice PA
• Mount Dora Medical Institute Inc LLC
• Mount Dora Ophthalmology ASC LLC (Mid Florida Surgery Center)
• Mount Dora Smiles PLLC
• Annette Suzanne Murphy, PA-C
• Constance Murphy, MSW, LCSW
• Mary Jo Murphy, PT
• Shennel Murphy

• Physical Therapy Clinic/Center in Mount Dora, FL
• Providers in Mount Dora, 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 Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.