Promedicshealth Corp LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROMEDICSHEALTH CORP LLC

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

Organization subpart

No

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

Authorized official

Name

Mr. Marcel V Neesen, PT

Title

President

Phone

(407) 772-4515

Specialties & licenses 1

Addresses

Other names 1

• CTA Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan J Davis, PT

  • Physical Therapist
  • Longwood, FL
  • NPI 1013044312
  NPD (past)

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"
        }
    ]
}

• Kristen Elizabeth Pringle
• Mylika Pritchett, PMHNP-BC
• Aaron Chase Proctor
• Professional Imaging Centers Inc
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• Promise of Hope Counseling Inc
• Jessica Proulx, RMFTI
• Proximity Personal Services Inc
• Ronald J Pryor Jr.
• Publix Super Markets Inc

• Physical Therapist in Longwood, FL
• Providers in Longwood, FL by specialty
• Physical Therapist in Florida

• 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.