NPIMap

Organization Active NPI

Extra Mile Physical Therapy

  • Physical Therapist
  • Gainesville, FL
National Provider Identifier
1487926770
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24085 Issued in FL
Legal business name
EXTRA MILE PHYSICAL THERAPY
Practice address
1013 NE 9TH St
Gainesville, FL 32601-4447
Phone
(843) 259-1368
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Katherine Elspeth Browder, PT, DPT, CEEAANPI 1265694293
Title
Physical Therapist
Phone
(843) 259-1368

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT24085 FL Primary

Addresses

Primary practice location

1013 NE 9TH St
Gainesville, FL 32601-4447

Mailing address

PO Box 5248
Gainesville, FL 32627-5248
Phone (843) 259-1368

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1487926770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5248",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326275248",
            "telephone_number": "843-259-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 NE 9TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014447",
            "telephone_number": "843-259-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA MILE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "BROWDER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ELSPETH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "843-259-1368",
        "authorized_official_credential": "PT, DPT, CEEAA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.