Ancient City Mobile Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ANCIENT CITY MOBILE PHYSICAL THERAPY LLC

Practice address

164 Spanish Marsh Dr
Saint Augustine, FL 32095-7405

Phone

(443) 983-4627

NPI assigned

Sep 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Margo Slovis, PT, DPTNPI 1659821767

Title

Owner/Physical Therapist

Phone

(443) 983-4627

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Margo Slovis, PT, DPT, CLT

  • Physical Therapist
  • St Augustine, FL
  • NPI 1659821767
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1346963105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 SPANISH MARSH DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320957405",
            "telephone_number": "443-983-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SPANISH MARSH DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320957405",
            "telephone_number": "443-983-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCIENT CITY MOBILE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "SLOVIS",
        "authorized_official_first_name": "MARGO",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "443-983-4627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Pediatrics
• Ancient City Acupuncture and Herbal Medicine
• Ancient City Children's Therapy, LLC
• Ancient City Diagnostics, LLC
• Ancient City Midwives Inc
• Ancient City Pediatrics (DBA Sunshine Pediatrics of St Augustine)
• And Then There Is You for North Florida PLLC (And Then There is You - Intergrated Health and Development)
• Megan E Andersen, APRN
• Geneva J Anderson
• Jasmine Anderson

• Physical Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.