Florida PT Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FLORIDA PT SERVICES LLC

Practice address

4796 Hodges Blvd Ste 102
Jacksonville, FL 32224-2209

Phone

(904) 299-9627

NPI assigned

Feb 23, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Foltz, MDNPI 1144290677

Title

Owner

Phone

(904) 299-9627

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jerry Richard Foltz II, MD

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1144290677
  NPD Authorized official

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1376299883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4796 HODGES BLVD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242209",
            "telephone_number": "904-299-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4796 HODGES BLVD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242209",
            "telephone_number": "904-299-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "FOLTZ",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-299-9627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Physician Specialists LLC
• Florida Physician Specialists LLC
• Florida Physicians & Research Assoc
• Florida Proton Therapy Institute Inc
• Florida Psychiatry and Wellness, PLLC
• Florida Regional Pain Management, PA
• Florida Seizure Doc PLLC
• Florida Sleep Solutions Inc
• Florida Sleep Solutions of Jax Inc
• Florida Southern Assisted Living LLC

• All providers in Jacksonville, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.