Athletes Advantage Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ATHLETES ADVANTAGE PHYSICAL THERAPY PLLC

Practice address

1465 James Ave
Merritt Island, FL 32952-5759

Phone

(321) 536-9555

NPI assigned

Jun 21, 2023

Last updated

Jun 21, 2023By 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

Colton Clary, DPTNPI 1134612328

Title

Ceo

Phone

(321) 536-9555

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.

• Colton C Clary, PT, DPT

  • Physical Therapist
  • Merritt Island, FL
  • NPI 1134612328
  NPD Authorized official

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1467137976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 JAMES AVE",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329525759",
            "telephone_number": "321-536-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 JAMES AVE",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329525759",
            "telephone_number": "321-536-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETES ADVANTAGE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "CLARY",
        "authorized_official_first_name": "COLTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-536-9555",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn A Arnold, PTA
• Brandi Arp, MSW
• Shona M Asante, LPN
• Ash Dermatology & Skin Cancer Center, PA
• Barbara Anne Ash, M.D.
• Lisa Atkinson-Kern, M.A. CCC-SLP
• Christopher Irby Atkinson, PT, DPT, CSCS
• Atlantic Coast Pediatrics, M.D. P.a.
• Karin A Atwell, LMT
• Karyna Auletta

• Physical Therapist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.