Active NPI
Nature Coast Rehabilitation Inc
Doing business as Nature Coast Rehabilitation
- Physical Therapy Clinic/Center
- Williston, FL
National Provider Identifier
1477633204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- NATURE COAST REHABILITATION INC
- Doing business as
- Nature Coast Rehabilitation
- Practice address
- 37 South Main Street, Suite C
Williston, FL 32696-2548 - Phone
- (352) 529-0012
- Fax
- (352) 528-2878
- NPI assigned
- Oct 16, 2006
- Last updated
- Jan 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elizabeth Hicks, PT
- Title
- Owner
- Phone
- (352) 529-0012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
37 South Main Street, Suite C
Williston, FL 32696-2548
Mailing address
25050 W Newberry Road
Newberry, FL 32669-5050
Phone (352) 472-1400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890647500 | Medicaid | FL | |
| 298499 | Other | FL | AVMED |
Other names 1
- Nature Coast Rehabilitation
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231977600000",
"number": "1477633204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25050 W NEWBERRY ROAD",
"city": "NEWBERRY",
"state": "FL",
"postal_code": "326695050",
"telephone_number": "352-472-1400",
"fax_number": "352-472-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 SOUTH MAIN STREET, SUITE C",
"city": "WILLISTON",
"state": "FL",
"postal_code": "326962548",
"telephone_number": "352-529-0012",
"fax_number": "352-528-2878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATURE COAST REHABILITATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2009-01-15",
"status": "A",
"authorized_official_last_name": "HICKS",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-529-0012",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890647500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "298499",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nature Coast Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Williston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.