New Smyrna Beach Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NEW SMYRNA BEACH PHYSICAL THERAPY LLC

Practice address

701 E 3Rd Ave Unit 6
New Smyrna Beach, FL 32169-3104

Phone

(386) 957-3902

Fax

(386) 232-9761

NPI assigned

Aug 23, 2021

Organization subpart

No

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

Authorized official

Name

Allyson Kight, DPTNPI 1417383621

Title

Owner

Phone

(703) 489-7597

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Allyson Kight, DPT

  • Physical Therapist
  • New Smyrna Beach, FL
  • NPI 1417383621
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer A Lutzyk, PT

  • Physical Therapist
  • Daytona Beach, FL
  • NPI 1366535551
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1639845282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E 3RD AVE UNIT 6",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321693104",
            "telephone_number": "386-957-3902",
            "fax_number": "386-232-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 3RD AVE UNIT 6",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321693104",
            "telephone_number": "386-957-3902",
            "fax_number": "386-232-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SMYRNA BEACH PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "KIGHT",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-489-7597",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.