Organization Active NPI

Paradise Physical Therapy, LLC

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1649929068
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PARADISE PHYSICAL THERAPY, LLC
Practice address
5023 Ringwood Meadow Drive
Building F
Sarasota, FL 34235
Phone
(941) 360-9706
NPI assigned
Mar 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Kyle Walling, DPT
Title
Owner, Director, Physical Therapist
Phone
(540) 447-6453

Specialties & licenses 1

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

Addresses

Primary practice location

5023 Ringwood Meadow Drive
Building F
Sarasota, FL 34235

Mailing address

403 Giovanni Dr
Nokomis, FL 34275-3589
Phone (434) 420-0096

National Provider Directory

National Provider Directory

Locations

5023 Ringwood Mdw
Bldg F
Sarasota, FL 34235
Phone (941) 360-9706

Practitioners & affiliated clinicians

Practitioners 1

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": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1649929068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 GIOVANNI DR",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342753589",
            "telephone_number": "434-420-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5023 RINGWOOD MEADOW DRIVE",
            "address_2": "BUILDING F",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34235",
            "telephone_number": "941-360-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "WALLING",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER, DIRECTOR, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "540-447-6453",
        "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": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.