Physical Therapy and Rehabilitation Clinic Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSICAL THERAPY AND REHABILITATION CLINIC INC

Practice address

2520 Commercial Dr Ste C
Starke, FL 32091-7860

Phone

(904) 386-1257

Fax

(904) 368-1258

NPI assigned

Oct 8, 2013

Organization subpart

No

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

Authorized official

Name

Justin Weldon, MSPT

Title

President

Phone

(904) 272-2830

Specialties & licenses 1

Addresses

Other names 1

• Preferred Physical Therapy Doing business as

Tax ID family

Physical Therapy Rehabilitation Clinic Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Physical Therapy & Rehabilitation Clinic Inc

  • Physical Therapy Clinic/Center
  • Orange Park, FL
  • NPI 1386618064
  NPD tax ID
• Physical Therapy and Rehabiitation Clinic Inc

  • Physical Therapist
  • Macclenny, FL
  • NPI 1710040159
  NPD tax ID
• Physical Therapy and Rehabiliation Clinic Inc

  • Physical Therapist
  • Orange Park, FL
  • NPI 1508929779
  NPD tax ID
• Physical Therapy and Rehabilitation Clinic Inc

  • Physical Therapist
  • Orange Park, FL
  • NPI 1912253030
  NPD tax ID

Locations

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1487081345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 KINGSLEY AVE",
            "address_2": "SUITE 5",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735144",
            "telephone_number": "904-272-2830",
            "fax_number": "904-272-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 COMMERCIAL DR STE C",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320917860",
            "telephone_number": "904-386-1257",
            "fax_number": "904-368-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AND REHABILITATION CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "WELDON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-272-2830",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaimee Patterson
• Barbara Pellechio
• Anne Louise Perantoni, ARNP, MSN, BC
• Gabrielle Perez, PA-C
• Desaray D Perkins, APRN
• Physician Care Inc
• Mark Phillip Pitts, CAP, CCJAP
• Jenifer Marie Presnick, OD
• Purpose Behavioral Health Center, LLC
• Rapha Kidney Center PLLC

• Physical Therapy Clinic/Center in Starke, FL
• Providers in Starke, 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 Apr 2, 2024; 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.