Organization Active NPI

A1A Physical Therapy, LLC

  • Rehabilitation Clinic/Center
  • St Augustine, FL
National Provider Identifier
1508466707
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
A1A PHYSICAL THERAPY, LLC
Practice address
8 Ocean Trace Rd
Saint Augustine, FL 32080-6972
Phone
(904) 874-8547
Fax
(904) 780-5426
NPI assigned
Oct 27, 2020
Last updated
Oct 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Dr. Holly Faunce, DPT
Title
Owner/Physical Therapist
Phone
(904) 874-8547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

8 Ocean Trace Rd
Saint Augustine, FL 32080-6972

Mailing address

358 Mission Trace Dr
Saint Augustine, FL 32084-1154
Phone (904) 874-8547

National Provider Directory

National Provider Directory

Locations

8 Ocean Trace Rd
Saint Augustine, FL 32080
Phone (904) 874-8547

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1508466707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 MISSION TRACE DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320841154",
            "telephone_number": "904-874-8547",
            "fax_number": "904-780-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 OCEAN TRACE RD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320806972",
            "telephone_number": "904-874-8547",
            "fax_number": "904-780-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1A PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "FAUNCE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "904-874-8547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.