Organization Active NPI

Themobilept PLLC

  • Physical Therapist
  • Winter Springs, FL
National Provider Identifier
1508478264
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THEMOBILEPT PLLC
Practice address
701 E State Road 434 Ste 1061
Winter Springs, FL 32708-2701
Phone
(407) 452-4027
NPI assigned
Aug 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Antony Girgis, DPTNPI 1265917462
Title
Physical Therapist
Phone
(407) 452-4027

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 Primary

Addresses

Primary practice location

701 E State Road 434 Ste 1061
Winter Springs, FL 32708-2701

Mailing address

14948 Indigo Lake Dr
Orlando, FL 32824-4919
Phone (407) 452-4027

Other names 1

  • Physical Therapy of Winter Springs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201120000769 FL Part B Supplier - Clinic/Group Practice 4284045352 Receives reassigned benefits from 1 practitioner
Practice locations: Casselberry, FL; Orlando, FL

National Provider Directory

National Provider Directory

Locations

701 E State Road 434
Ste 1061
Winter Springs, FL 32708
Phone (407) 452-4027

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": "1598140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1508478264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14948 INDIGO LAKE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328244919",
            "telephone_number": "407-452-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E STATE ROAD 434 STE 1061",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327082701",
            "telephone_number": "407-452-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEMOBILEPT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-23",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "GIRGIS",
        "authorized_official_first_name": "ANTONY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "407-452-4027",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy of Winter Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.