Organization Active NPI

United Therapy Group LLC

  • Physical Therapist
  • Fort MC Coy, FL
National Provider Identifier
1376697631
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UNITED THERAPY GROUP LLC
Practice address
12801 NE 139TH PL
Fort MC Coy, FL 32134-7765
Phone
(352) 236-0823
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Authorized official

Name
Kristina Pasteur
Title
MGRN
Phone
(240) 367-6355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

12801 NE 139TH PL
Fort MC Coy, FL 32134-7765

Mailing address

19804 NE 22ND LN
Hawthorne, FL 32640-2900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1376697631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19804 NE 22ND LN",
            "city": "HAWTHORNE",
            "state": "FL",
            "postal_code": "326402900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 NE 139TH PL",
            "city": "FORT MC COY",
            "state": "FL",
            "postal_code": "321347765",
            "telephone_number": "352-236-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "PASTEUR",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "MGRN",
        "authorized_official_telephone_number": "240-367-6355"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort MC Coy, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.