Physical Therapy Doctors of Florida LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL THERAPY DOCTORS OF FLORIDA LLC

Practice address

701 Manatee Ave W
Bradenton, FL 34205-8604

Phone

(617) 519-6443

NPI assigned

Dec 29, 2017

Last updated

Dec 29, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Mullis, PT, DPTNPI 1508078130

Title

Owner

Phone

(617) 519-6443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Mullis, PT, DPT

  • Physical Therapist
  • Bradenton, FL
  • NPI 1508078130
  Medicare reassignment Care Compare group NPD Authorized official
• Scott Dylan Swetland, PT, DPT

  • Physical Therapist
  • Bradenton, FL
  • NPI 1629715081
  Medicare reassignment Care Compare group NPD
• Yna Grageda

  • Physical Therapist
  • Bradenton, FL
  • NPI 1558956862
  Medicare reassignment NPD
• Daniel Purcell, DPT

  • Physical Therapist
  • Beverly, MA
  • NPI 1144695214

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1538676580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13803 SWIFTWATER WAY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058604",
            "telephone_number": "617-519-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY DOCTORS OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "MULLIS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-519-6443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Philip, DPM
• Phillips Investments, LLC - Bradenton 59TH St Operations Series
• Phillips Investments, LLC - Bradenton Cove Operations Series
• Arlinda Flores Phillips, LMHC
• Camille T Phillips, PT
• Physician's House Call Services, PA
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc
• Megan Louise Piche
• Gregory Pickens II, LMHC

• Physical Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.