Onshore Therapy, PLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT21750 Issued in FL

Legal business name

ONSHORE THERAPY, PLC

Practice address

92410 Overseas Highway
Suite 6
Tavernier, FL 33070-2636

Phone

(305) 852-8600

Fax

(305) 852-8300

NPI assigned

Jul 4, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Leann Dawn Crockett, MSPTNPI 1124131750

Title

Owner/Physical Therapist

Phone

(305) 852-8600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Leann Dawn Crockett, MSPT

  • Physical Therapist
  • Tavernier, FL
  • NPI 1124131750
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1215129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1659534105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92410 OVERSEAS HIGHWAY",
            "address_2": "SUITE 6",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702636",
            "telephone_number": "305-852-8600",
            "fax_number": "305-852-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92410 OVERSEAS HIGHWAY",
            "address_2": "SUITE 6",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702636",
            "telephone_number": "305-852-8600",
            "fax_number": "305-852-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSHORE THERAPY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-04",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "LEANN",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "305-852-8600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT21750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001268400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Tavernier, FL
• Providers in Tavernier, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.