Individual provider Active NPI

Ursula Danielle Floyd Whittaker, P.T.

  • Physical Therapist
  • Gainesville, FL
National Provider Identifier
1679730600
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23010 Issued in FL
Practice address
7135 NW 11TH PL
Suite B-3
Gainesville, FL 32605-3143
Phone
(352) 331-9356
Fax
(352) 331-9357
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT23010 FL Primary

Addresses

Primary practice location

7135 NW 11TH PL
Suite B-3
Gainesville, FL 32605-3143

Mailing address

4455 SW 103Rd CT
Gainesville, FL 32608-7145
Phone (352) 378-2955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT23010FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Wellness and Rehab Services LLC Physical Therapist Past Accepting new patients
Elite Wellness and Rehab Services, LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1679730600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 SW 103RD CT",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326087145",
            "telephone_number": "352-378-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7135 NW 11TH PL",
            "address_2": "SUITE B-3",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053143",
            "telephone_number": "352-331-9356",
            "fax_number": "352-331-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "URSULA",
        "middle_name": "DANIELLE FLOYD",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.