Organization Active NPI

Remedy Physiorooms LLC

  • Physical Therapy Clinic/Center
  • St Augustine, FL
National Provider Identifier
1518470293
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT28698 Issued in FL
Legal business name
REMEDY PHYSIOROOMS LLC
Practice address
55 Medio Dr
St Augustine, FL 32095-6718
Phone
(904) 417-8370
NPI assigned
Nov 16, 2017
Last updated
Nov 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
David W Brewer, DPT
Title
Physical Therapist / Owner
Phone
(904) 417-8370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT28698 FL Primary

Addresses

Primary practice location

55 Medio Dr
St Augustine, FL 32095-6718

Mailing address

55 Medio Dr
St Augustine, FL 32095-6718
Phone (904) 417-8370

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1518470293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MEDIO DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320956718",
            "telephone_number": "904-417-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MEDIO DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320956718",
            "telephone_number": "904-417-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDY PHYSIOROOMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "904-417-8370",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT28698",
            "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 Nov 16, 2017; 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.