Organization Active NPI

Suncoast Physical Therapy & Rehab. LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Bradenton, FL
National Provider Identifier
1366612814
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
SUNCOAST PHYSICAL THERAPY & REHAB. LLC
Practice address
308 53Rd Ave E
Suite 'a'
Bradenton, FL 34203-4706
Phone
(941) 752-1625
Fax
(941) 752-2936
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Lori Hunter
Title
Administrator
Phone
(941) 752-1625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

308 53Rd Ave E
Suite 'a'
Bradenton, FL 34203-4706

Mailing address

308 53Rd Ave E
Suite 'a'
Bradenton, FL 34203-4706
Phone (941) 752-1625

Other identifiers 1

IdentifierTypeStateIssuer
18280BOtherBCBS

National Provider Directory

National Provider Directory

Locations

308 53rd Ave E
Ste A
Bradenton, FL 34203
Phone (941) 752-1625

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1366612814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 53RD AVE E",
            "address_2": "SUITE 'A'",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342034706",
            "telephone_number": "941-752-1625",
            "fax_number": "941-752-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 53RD AVE E",
            "address_2": "SUITE 'A'",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342034706",
            "telephone_number": "941-752-1625",
            "fax_number": "941-752-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST PHYSICAL THERAPY & REHAB. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-752-1625"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18280B",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.