NPIMap

Organization Active NPI

Firstchoice Physical Therapy and Sports Rehabilitation Inc

  • Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1376582452
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC1264 Issued in FL
Legal business name
FIRSTCHOICE PHYSICAL THERAPY AND SPORTS REHABILITATION INC
Practice address
11945 San Jose Blvd
Suite 202
Jacksonville, FL 32223
Phone
(904) 880-2424
Fax
(904) 880-2420
NPI assigned
Jun 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gerald Allen Stevens, ATC LATNPI 1720069065
Title
President
Phone
(904) 880-2424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC1264 FL Primary

Addresses

Primary practice location

11945 San Jose Blvd
Suite 202
Jacksonville, FL 32223

Mailing address

11945 San Jose Blvd
Suite 202
Jacksonville, FL 32223-1613
Phone (904) 880-2424

National Provider Directory

National Provider Directory

Locations

11945 San Jose Blvd
Ste 202
Jacksonville, FL 32223
Phone (904) 262-2249

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376582452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 SAN JOSE BLVD",
            "address_2": "SUITE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231613",
            "telephone_number": "904-880-2424",
            "fax_number": "904-880-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11945 SAN JOSE BLVD",
            "address_2": "SUITE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32223",
            "telephone_number": "904-880-2424",
            "fax_number": "904-880-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTCHOICE PHYSICAL THERAPY AND SPORTS REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-880-2424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATC LAT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC1264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • 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.