Parkway Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PARKWAY PHYSICAL THERAPY INC

Practice address

600 W North Blvd
Leesburg, FL 34748-5063

Phone

(352) 787-9300

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gerald Goldstein

Title

Vice President

Phone

(352) 787-9300

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Mary Jean Johnson, RPT

  • Physical Therapist
  • Fort Myers, FL
  • NPI 1972723690
  NPD (past)
• Thomas Mark Kallin, RPT

  • Physical Therapist
  • Fort Myers, FL
  • NPI 1417172149
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1538384136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491654",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347491654",
            "telephone_number": "352-787-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W NORTH BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485063",
            "telephone_number": "352-787-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "352-787-9300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FACILITY NUMBER",
            "identifier": "Y910",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Papineau, RBT
• Paradigm Hospitalist Group
• David Mansug Park, OMD
• Angelica Parker, COTA
• Gail L Parker, NP
• Alice Linetta Parrott, LCSW
• Suzanne Mariette Pasco
• Deborah Pate, ARNP
• Minal Patel, RPH
• Mishaben Harshil Patel

• Physical Therapy Clinic/Center in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.