NPIMap

Organization Active NPI

Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1336699552
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT18123 Issued in FL
Legal business name
SELECT PHYSICAL THERAPY
Practice address
1328 Vine St
Jacksonville, FL 32207-8743
Phone
(904) 346-0528
NPI assigned
Oct 12, 2016
Last updated
Oct 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Jennifer Hauser
Title
Market Manager
Phone
(904) 346-0528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT18123 FL Primary

Addresses

Primary practice location

1328 Vine St
Jacksonville, FL 32207-8743

Mailing address

1328 Vine St
Jacksonville, FL 32207-8743

National Provider Directory

National Provider Directory
Tax ID family
Healthsouth Sports Med169 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

1328 Vine St
Jacksonville, FL 32207
Phone (904) 346-0528

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1336699552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 VINE ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 VINE ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078743",
            "telephone_number": "904-346-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MARKET MANAGER",
        "authorized_official_telephone_number": "904-346-0528"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT18123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 12, 2016; 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.