Atomic Sports Physio and Performance LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ATOMIC SPORTS PHYSIO AND PERFORMANCE LLC

Practice address

3510 Cordgrass Dr
Valrico, FL 33596-9253

Phone

(703) 350-2288

NPI assigned

Jul 27, 2021

Last updated

Jul 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Annette Purvis, DPTNPI 1407286420

Title

Owner/Practitioner

Phone

(703) 350-2288

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jennifer Purvis, DPT

  • Orthopedic Physical Therapist
  • Valrico, FL
  • NPI 1407286420
  Authorized official Same address or phone

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1457024309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 CORDGRASS DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335969253",
            "telephone_number": "703-350-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 CORDGRASS DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335969253",
            "telephone_number": "703-350-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATOMIC SPORTS PHYSIO AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "PURVIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "703-350-2288",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Valrico, FL
• Providers in Valrico, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.