NPIMap

Organization Active NPI

Physical Therapy Associates of Orange Park, Inc

  • Physical Therapy Clinic/Center
  • Fleming Island, FL
National Provider Identifier
1508883018
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSICAL THERAPY ASSOCIATES OF ORANGE PARK, INC
Practice address
1550 Business Center Dr Ste B
Fleming Island, FL 32003-4416
Phone
(904) 276-7881
Fax
(904) 276-7568
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Hemant Patel, PTNPI 1326068586
Title
Administrator/Owner
Phone
(904) 264-6304

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1550 Business Center Dr Ste B
Fleming Island, FL 32003-4416

Mailing address

1550 Business Center Dr Ste B
Orange Park, FL 32003-4416
Phone (904) 276-7881

Other practice location 1

151 College Dr Ste 10
Orange Park, FL 32065-7684
Phone (904) 264-6304

Other identifiers 1

IdentifierTypeStateIssuer
BCBSOtherFLY904K

Other names 1

  • Progressive Step Rehab of Orange Park Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040916000294 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0042287237 Receives reassigned benefits from 3 practitioners
Practice locations: Fleming Island, FL; Orange Park, FL; Jacksonville, FL

National Provider Directory

National Provider Directory
Tax ID family
Physical Therapy Associates of Orange Park Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1845 Eastwest Pkwy
Ste 14
Fleming Island, FL 32003
Phone (904) 719-0434

1845 Eastwest Pkwy
Fleming Island, FL 32003

1845 Eastwest Pkwy
Ste 1415
Fleming Isle, FL 32003
Phone (904) 264-6301

151 College Dr
Ste 10
Orange Park, FL 32065
Phone (904) 264-6304

1550 Business Center Dr
Ste B
Orange Park, FL 32003
Phone (904) 264-6304

410 Blanding Blvd
Ste 6A
Orange Park, FL 32073
Phone (904) 276-7881

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1508883018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 BUSINESS CENTER DR STE B",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320034416",
            "telephone_number": "904-276-7881",
            "fax_number": "904-276-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 BUSINESS CENTER DR STE B",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034416",
            "telephone_number": "904-276-7881",
            "fax_number": "904-276-7568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 College Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320657684",
            "country_code": "US",
            "telephone_number": "904-264-6304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICAL THERAPY ASSOCIATES OF ORANGE PARK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HEMANT",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "904-264-6304",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "Y904K",
            "identifier": "BCBS",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Step Rehab of Orange Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Progressive Step Rehab of Orange Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.