NPIMap

Organization Active NPI

Pro Motion Therapy of Lake City LLC

Doing business as FYZICAL Therapy & Balance Centers

  • Physical Therapy Clinic/Center
  • Gainesville, FL
National Provider Identifier
1538358585
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PRO MOTION THERAPY OF LAKE CITY LLC
Doing business as
FYZICAL Therapy & Balance Centers
Practice address
4423 NW 6TH PL Ste C
Gainesville, FL 32607-6116
Phone
(352) 325-2276
Fax
(352) 877-4580
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Eric Eldon Douglass, PT
Title
Cco
Phone
(239) 947-4184

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4423 NW 6TH PL Ste C
Gainesville, FL 32607-6116

Mailing address

PO Box 632670
Cincinnati, OH 45263-2670
Phone (702) 818-5000

Other practice location 1

945 SW Main Blvd
Lake City, FL 32025-5746
Phone (386) 755-3164

Other names 1

  • FYZICAL Therapy & Balance Centers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080606000654 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7113000514 Receives reassigned benefits from 5 practitioners
Practice locations: Gainesville, FL; Lake City, FL

National Provider Directory

National Provider Directory
Tax ID family
Fyzical Therapy Balance Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5080 Newberry Rd
#2A
Gainesville, FL 32607
Phone (352) 325-2276

945 SW Main Blvd
Lake City, FL 32025
Phone (386) 755-3164

1438 SW Main Blvd
Lake City, FL 32025
Phone (386) 755-3164

Practitioners & affiliated clinicians

Practitioners 12

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": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1538358585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632670",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632670",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 NW 6TH PL STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076116",
            "telephone_number": "352-325-2276",
            "fax_number": "352-877-4580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 SW Main Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320255746",
            "country_code": "US",
            "telephone_number": "386-755-3164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRO MOTION THERAPY OF LAKE CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "DOUGLASS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ELDON",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "239-947-4184",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy & Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.