Advanced Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 5799 Issued in FL

Legal business name

ADVANCED PHYSICAL THERAPY INC

Practice address

6050 Babcock St SE
Suite 5
Palm Bay, FL 32909-3996

Phone

(321) 676-2055

Fax

(321) 676-9928

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bruce R Wills, MPT

Title

Physical Therapist/Owner

Phone

(321) 676-2055

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Michael Marcy

  • Physical Therapist
  • Melbourne, FL
  • NPI 1275643900
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1376597849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 BABCOCK ST SE",
            "address_2": "SUITE 5",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329093996",
            "telephone_number": "321-676-2055",
            "fax_number": "321-676-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 BABCOCK ST SE",
            "address_2": "SUITE 5",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329093996",
            "telephone_number": "321-676-2055",
            "fax_number": "321-676-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "321-676-2055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 5799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y3810",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Palm Bay, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.