Organization Active NPI

Neurologic Physical Therapy Specialist

  • Rehabilitation Clinic/Center
  • Orlando, FL
National Provider Identifier
1487036356
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
PT20479 Issued in FL
Legal business name
NEUROLOGIC PHYSICAL THERAPY SPECIALIST
Practice address
5250 Tunbridge Wells LN Apt 5
Orlando, FL 32812-8762
Phone
(407) 721-8819
NPI assigned
Jun 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Authorized official

Name
Tara Tobias, PT, DPT, NCS
Title
Physical Therapist/Owner
Phone
(407) 721-8819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X PT20479 FL Primary

Addresses

Primary practice location

5250 Tunbridge Wells LN Apt 5
Orlando, FL 32812-8762

Mailing address

5250 Tunbridge Wells LN Apt 5
Orlando, FL 32812-8762
Phone (407) 721-8819

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1487036356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 TUNBRIDGE WELLS LN APT 5",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328128762",
            "telephone_number": "407-721-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 TUNBRIDGE WELLS LN APT 5",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328128762",
            "telephone_number": "407-721-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGIC PHYSICAL THERAPY SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "TOBIAS",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "407-721-8819",
        "authorized_official_credential": "PT, DPT, NCS"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "PT20479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.