NPIMap

Organization Active NPI

Promedicshealth Corp LLC

Doing business as CTA Therapy

  • Physical Therapist
  • Longwood, FL
National Provider Identifier
1346397882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROMEDICSHEALTH CORP LLC
Doing business as
CTA Therapy
Practice address
686 N Hunt Club Blvd Ste 180
Longwood, FL 32779-2218
Phone
(407) 772-4515
Fax
(407) 772-4518
NPI assigned
Jan 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Marcel V Neesen, PTNPI 1538216874
Title
President
Phone
(407) 772-4515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

686 N Hunt Club Blvd Ste 180
Longwood, FL 32779-2218

Mailing address

686 N Hunt Club Blvd Ste 180
Longwood, FL 32779-2218
Phone (407) 772-4515

Other names 1

  • CTA Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

686 N Hunt Club Blvd
Ste 180
Longwood, FL 32779
Phone (407) 772-4515

Practitioners & affiliated clinicians

Practitioners 2

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": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346397882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 N HUNT CLUB BLVD STE 180",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792218",
            "telephone_number": "407-772-4515",
            "fax_number": "407-772-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 N HUNT CLUB BLVD STE 180",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792218",
            "telephone_number": "407-772-4515",
            "fax_number": "407-772-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICSHEALTH CORP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEESEN",
        "authorized_official_first_name": "MARCEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-772-4515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CTA Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.