Organization Active NPI

Equinox Physical Therapy LLC

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1366731382
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EQUINOX PHYSICAL THERAPY LLC
Practice address
950 S Tamiami TRL
Suite 101
Sarasota, FL 34236-7840
Phone
(941) 404-4567
NPI assigned
Mar 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Laura J Wazen, PTNPI 1861634438
Title
Manager/Member
Phone
(941) 404-4567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

950 S Tamiami TRL
Suite 101
Sarasota, FL 34236-7840

Mailing address

950 S Tamiami TRL
Suite 101
Sarasota, FL 34236-7840
Phone (941) 404-4567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110518000695 FL Part B Supplier - Clinic/Group Practice 8628254158 Receives reassigned benefits from 2 practitioners
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

950 S Tamiami Trl
Ste 101
Sarasota, FL 34236
Phone (941) 404-4567

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1366731382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S TAMIAMI TRL",
            "address_2": "SUITE 101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367840",
            "telephone_number": "941-404-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S TAMIAMI TRL",
            "address_2": "SUITE 101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367840",
            "telephone_number": "941-404-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUINOX PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "WAZEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "941-404-4567",
        "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": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.