Island Physical Therapy Center, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT17719 Issued in FL

Legal business name

ISLAND PHYSICAL THERAPY CENTER, INC.

Practice address

13365 Overseas Hwy Ste 103
Marathon, FL 33050-3513

Phone

(305) 304-6203

NPI assigned

Sep 2, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Cami H Holdinga, PTNPI 1609932094

Title

President

Phone

(305) 304-6203

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 4

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

• Cami H. Holdinga, P.T.

  • Physical Therapist
  • Marathon, FL
  • NPI 1609932094
  Medicare reassignment Care Compare group NPD Authorized official
• Kristin Michelle Carlson, DPT

  • Physical Therapist
  • Marathon, FL
  • NPI 1538416011
  Medicare reassignment Care Compare group NPD
• Arjen Frederick Holdinga, PT,

  • Physical Therapist
  • Marathon, FL
  • NPI 1003940123
  Medicare reassignment Care Compare group NPD
• Steven Richard Phillips, PT

  • Physical Therapist
  • Key West, FL
  • NPI 1194375030
  Medicare reassignment NPD

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1639486269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 91ST COURT OCEAN",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330505251",
            "telephone_number": "305-304-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13365 OVERSEAS HWY STE 103",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503513",
            "telephone_number": "305-304-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PHYSICAL THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "HOLDINGA",
        "authorized_official_first_name": "CAMI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-304-6203",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT17719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hometown Pediatrics
• Carmen Nadine Hood, C.A.P.
• Carma Huff
• Jamie Lee Hulet, NURSE PRACTITIONER
• Trey Ilgen
• Island Wellness
• J & J Home & Community Support Corp
• Peeter Jakobson, MD
• Jodi Jamison
• John P Oconnor MD PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.