Organization Active NPI

Intercede Physical Therapy

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1487117412
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
INTERCEDE PHYSICAL THERAPY
Practice address
1680 Dunn Ave Ste 34
Jacksonville, FL 32218-4744
Phone
(248) 309-1665
NPI assigned
Apr 8, 2019
Last updated
Apr 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Authorized official

Name
Rachelle Alcide, DPTNPI 1528268208
Title
Owner
Phone
(248) 309-1665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1680 Dunn Ave Ste 34
Jacksonville, FL 32218-4744

Mailing address

1680 Dunn Ave Ste 34
Jacksonville, FL 32218-4744
Phone (248) 309-1665

National Provider Directory

National Provider Directory

Locations

1680 Dunn Ave
Ste 34
Jacksonville, FL 32218
Phone (248) 309-1665

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1487117412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 DUNN AVE STE 34",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184744",
            "telephone_number": "248-309-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 DUNN AVE STE 34",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184744",
            "telephone_number": "248-309-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCEDE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "ALCIDE",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-309-1665",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.