Organization Active NPI

Nature Coast Rehabilitation Inc

Doing business as Nature Coast Rehabilitation

  • Physical Therapy Clinic/Center
  • Williston, FL
National Provider Identifier
1477633204
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
890647500MedicaidFL
298499OtherFLAVMED

Other names 1

  • Nature Coast Rehabilitation Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.