Organization Active NPI

Octopia

  • Rehabilitation Hospital Unit
  • Jacksonville Beach, FL
National Provider Identifier
1457729071
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
OT-8953 Issued in FL
Legal business name
OCTOPIA
Practice address
1304 16TH Ave N
Jacksonville Beach, FL 32250-3777
Phone
(904) 562-8571
Fax
(904) 246-4602
NPI assigned
Sep 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Jeff Parks, PHYSICAL THERAPIST
Title
Lead Physical Therapist Owner
Phone
(904) 562-8571

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OT-8953 FL
Rehabilitation Hospital Unit 273Y00000X OT-8953 FL Primary
Rehabilitation Hospital 283X00000X OT-8953 FL

Addresses

Primary practice location

1304 16TH Ave N
Jacksonville Beach, FL 32250-3777

Mailing address

1304 16TH Ave N
Jacksonville Beach, FL 32250-3777
Phone (904) 562-8571

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": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1457729071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 16TH AVE N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503777",
            "telephone_number": "904-562-8571",
            "fax_number": "904-246-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 16TH AVE N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503777",
            "telephone_number": "904-562-8571",
            "fax_number": "904-246-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTOPIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "LEAD PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "904-562-8571",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "OT-8953",
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "FL",
            "license": "OT-8953",
            "primary": true
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "FL",
            "license": "OT-8953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.