NPIMap

Organization Active NPI

Nature Coast Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Williston, FL
National Provider Identifier
1659338135
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NATURE COAST REHABILITATION INC
Practice address
37 S Main St Ste C
Williston, FL 32696-2681
Phone
(352) 528-0022
Fax
(352) 528-2878
NPI assigned
Apr 27, 2006
Last updated
Jan 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Ms. Elizabeth Johnson Hicks, PTNPI 1477511525
Title
Owner/President
Phone
(352) 528-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

37 S Main St Ste C
Williston, FL 32696-2681

Mailing address

PO Box 518
Williston, FL 32696-0518
Phone (352) 528-0022

Other identifiers 2

IdentifierTypeStateIssuer
890647500MedicaidFL
Y911YOtherFLPHYSICAL THERAPY-BCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1659338135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326960518",
            "telephone_number": "352-528-0022",
            "fax_number": "352-528-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 S MAIN ST STE C",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326962681",
            "telephone_number": "352-528-0022",
            "fax_number": "352-528-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURE COAST REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "352-528-0022",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890647500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY-BCBS",
            "identifier": "Y911Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.