Physical Therapy on Demand LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSICAL THERAPY ON DEMAND LLC

Practice address

320 High Tide Dr Ste 101a
St Augustine, FL 32080-2324

Phone

(904) 599-6812

NPI assigned

Nov 21, 2024

Organization subpart

No

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

Authorized official

Name

Todd Ball, PT

Title

President

Phone

(904) 599-6812

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1386469625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HIGH TIDE DR STE 101A",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320802324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 HIGH TIDE DR STE 101A",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320802324",
            "telephone_number": "904-599-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY ON DEMAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-599-6812",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Story Phillips, MS CCC-SLP
• Phoenix CM Incorporated
• Phoenix Rises Acupuncture
• Physical Intelligence LLC
• Physical Intelligence St. Augustine
• Physician Associates Group, Inc.
• Amy M Piazza, OTRL CHT
• Carolyn Piazza
• N'Mya J Pierce
• Patrick Pietrzak

• Physical Therapy Clinic/Center in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.