Port Orange Physical Therapy Limited Partnership

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PORT ORANGE PHYSICAL THERAPY LIMITED PARTNERSHIP

Practice address

900 N Swallowtail Dr
Suite 107
Port Orange, FL 32129-6103

Phone

(386) 322-4641

Fax

(386) 322-4677

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Janna P. King, JD

Title

VP,Authorized Official

Phone

(713) 297-7000

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joanne Livengood, PT

  • Physical Therapist
  • Titusville, FL
  • NPI 1457450926
  NPD (past)
• Rebecca Cristine McCracken, DPT

  • Physical Therapist
  • Port Orange, FL
  • NPI 1093825960
  NPD (past)
• Joanne Walter, PT

  • Physical Therapist
  • Port Orange, FL
  • NPI 1962467886
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1467541417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W SAM HOUSTON PKWY S",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422453",
            "telephone_number": "713-297-7000",
            "fax_number": "713-297-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N SWALLOWTAIL DR",
            "address_2": "SUITE 107",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296103",
            "telephone_number": "386-322-4641",
            "fax_number": "386-322-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT ORANGE PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JANNA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VP,AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Port Orange Endoscopy & Surgery Center LLC
• Port Orange Gynecology LLC
• Port Orange Internists PA
• Port Orange Modern Dentistry, PA
• Port Orange Pediatrics P a
• Bree Porter
• Dorothy Whatley Porter, PA
• Ann Potopowicz
• Cherokee Young Potter
• Kevin Powers, DMD

• Physical Therapy Clinic/Center in Port Orange, FL
• Providers in Port Orange, 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 Aug 2, 2007; 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.