Versatile Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

VERSATILE PHYSICAL THERAPY LLC

Doing business as

Versatile Physical Therapy

Practice address

1010 Kennedy Dr Ste 407
Key West, FL 33040-4134

Phone

(305) 709-1132

Fax

(865) 500-3729

NPI assigned

Sep 28, 2021

Last updated

Nov 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Heather S Harvey, PT, OCS, MTCNPI 1205011566

Title

MG Member

Phone

(239) 839-9842

Specialties & licenses 2

Addresses

Other names 1

• Versatile Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Heather Smith Harvey, PT PHYSICAL THERAPIS

  • Orthopedic Physical Therapist
  • Peterson Space Force Base, CO
  • NPI 1205011566

  FL

  Medicare reassignment NPD Authorized official
• Stephanie Lynn Mosquera-Difolco, DPT

  • Physical Therapist
  • Big Pine Key, FL
  • NPI 1760422273
  Medicare reassignment NPD
• Lori Hatch, PT

  • Physical Therapist
  • Wilsonville, OR
  • NPI 1275946527

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1497427413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3088",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809343088",
            "telephone_number": "239-839-9842",
            "fax_number": "865-500-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 KENNEDY DR STE 407",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404134",
            "telephone_number": "305-709-1132",
            "fax_number": "865-500-3729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Spanish Main Dr",
            "address_purpose": "LOCATION",
            "city": "Summerland Key",
            "state": "FL",
            "postal_code": "330424303",
            "country_code": "US",
            "telephone_number": "305-709-1132",
            "fax_number": "865-500-3729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VERSATILE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MG MEMBER",
        "authorized_official_telephone_number": "239-839-9842",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, OCS, MTC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Versatile Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Versatile Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Vallilee, DMD
• Megan Varney, PHARMD
• Richard Steven Vax, MD
• Natalia Vazquez Marrero, DMD
• Deedee Vazquez, PA-C
• Hannah Esther Viau
• Victor Genchi MD
• Claire Sexton Villate, LCSW, MSW
• Roy Viquillon Araujo
• Roidy Viquillon Gomez

• Physical Therapist in Key West, FL
• Providers in Key West, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.