NPIMap

Organization Active NPI

Pinnacle Physical Therapy & Sports Performance LLC

  • Physical Therapist
  • Saint Johns, FL
National Provider Identifier
1649563263
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PINNACLE PHYSICAL THERAPY & SPORTS PERFORMANCE LLC
Practice address
2758 Race Track Rd
Suite 401
Saint Johns, FL 32259-3250
Phone
(904) 894-8789
NPI assigned
May 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Frederick Baldwin, P.T.NPI 1639145261
Title
Ceo
Phone
(904) 894-8789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2758 Race Track Rd
Suite 401
Saint Johns, FL 32259-3250

Mailing address

2758 Race Track Rd
Suite 401
Saint Johns, FL 32259-3250

Other names 1

  • Pinnacle Physical Therapy & Sports Performance Doing business as

National Provider Directory

National Provider Directory

Locations

2758 Race Track Rd
Ste 401
Saint Johns, FL 32259
Phone (904) 894-8789

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1649563263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2758 RACE TRACK RD",
            "address_2": "SUITE 401",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2758 RACE TRACK RD",
            "address_2": "SUITE 401",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593250",
            "telephone_number": "904-894-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PHYSICAL THERAPY & SPORTS PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-894-8789",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Physical Therapy & Sports Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Johns, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.