Boyd Theodore Cantrell III, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT15361 Issued in FL

Practice address

502 W Highland Blvd
Inverness, FL 34452-4720

Phone

(352) 344-6425

NPI assigned

Mar 12, 2009

Last updated

Mar 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prosper Therapy

  • Physical Therapist
  • Ocala, FL
  • NPI 1679374144
  Medicare reassignment NPD
• Better Body Physical Therapy LLC

  • Physical Therapist
  • Ocala, FL
  • NPI 1801064761
  NPD (past)

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1679714125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 SW 181ST CIR",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344322511",
            "telephone_number": "352-239-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524720",
            "telephone_number": "352-344-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "BOYD",
        "middle_name": "THEODORE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT15361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Calma
• Krystal Camacho
• Rebecca Faye Campbell, L.M.T.
• Stephen D Campbell, M.D.
• Laura Karina Camps Abbott, M.D.
• Marion Maraguinot Capahi, M.D.
• Cardiovascular Anesthesia Consultants of Central Florida, LLC
• Cardiovascular Services LLC
• Care for You Anywhere
• Torr Erik Carmain, MD

• Physical Therapist in Inverness, FL
• Providers in Inverness, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.