Organization Active NPI

Sensational Physical Therapy, LLC

  • Pediatric Physical Therapist
  • Orange Park, FL
National Provider Identifier
1376793091
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT23307 Issued in FL
Legal business name
SENSATIONAL PHYSICAL THERAPY, LLC
Practice address
3180 Tower Oaks Dr
Orange Park, FL 32065-2544
Phone
(904) 412-7478
NPI assigned
Sep 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Dr. Heather Floyd Carraway, DPT
Title
Physical Therapist
Phone
(904) 412-7478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X PT23307 FL Primary

Addresses

Primary practice location

3180 Tower Oaks Dr
Orange Park, FL 32065-2544

Mailing address

3180 Tower Oaks Dr
Orange Park, FL 32065-2544
Phone (904) 412-7478

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1376793091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 TOWER OAKS DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652544",
            "telephone_number": "904-412-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 TOWER OAKS DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652544",
            "telephone_number": "904-412-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENSATIONAL PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "CARRAWAY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "904-412-7478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT23307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.