Organization Active NPI

Specialized Workcomp Services, LLC

  • Physical Therapy Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1508048174
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SPECIALIZED WORKCOMP SERVICES, LLC
Practice address
4215 Southpoint Blvd
Suite 190
Jacksonville, FL 32216-0976
Phone
(866) 907-4797
Fax
(866) 908-4797
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Brian Barth
Title
President
Phone
(866) 907-4797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4215 Southpoint Blvd
Suite 190
Jacksonville, FL 32216-0976

Mailing address

4215 Southpoint Blvd
Suite 190
Jacksonville, FL 32216-0976
Phone (866) 907-4797

Other names 1

  • SWS Rehab Other name

National Provider Directory

National Provider Directory

Locations

4215 Southpoint Blvd
Ste 190
Jacksonville, FL 32216
Phone (866) 907-4797

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": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1508048174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 SOUTHPOINT BLVD",
            "address_2": "SUITE 190",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160976",
            "telephone_number": "866-907-4797",
            "fax_number": "866-908-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 SOUTHPOINT BLVD",
            "address_2": "SUITE 190",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160976",
            "telephone_number": "866-907-4797",
            "fax_number": "866-908-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED WORKCOMP SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "BARTH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-907-4797"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWS Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 2, 2013; 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.