Active NPI
Ursula Danielle Floyd Whittaker, P.T.
- Physical Therapist
- Gainesville, FL
National Provider Identifier
1679730600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT23010
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT23010 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Physical Therapist
- Gainesville, FL
- NPI 1790935401
-
- Occupational Therapist
- Gainesville, FL
- NPI 1588919336
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.