Envision Physical Therapy and Pilates LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ENVISION PHYSICAL THERAPY AND PILATES LLC

Practice address

17 Strolling Easy LN
Flat Rock, NC 28731-1119

Phone

(678) 654-2244

NPI assigned

Jun 9, 2022

Last updated

Jun 9, 2022By 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. Jennifer Tyra, DPT

Title

Owner

Phone

(678) 654-2244

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1639808074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 STROLLING EASY LN",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287311119",
            "telephone_number": "678-654-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 STROLLING EASY LN",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287311119",
            "telephone_number": "678-654-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION PHYSICAL THERAPY AND PILATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "TYRA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-654-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Flat Rock, NC
• Providers in Flat Rock, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.