NPIMap

Organization Active NPI

Total Therapy Florida, LLC

  • Physical Medicine & Rehabilitation Physician
  • Lakewood Ranch, FL
National Provider Identifier
1689411399
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
TOTAL THERAPY FLORIDA, LLC
Practice address
10940 State Road 70 E Ste 101
Lakewood Ranch, FL 34202-8401
Phone
(941) 867-3737
Fax
(941) 218-5627
NPI assigned
Jul 10, 2024
Organization subpart
Yes
Parent organization
TOTAL THERAPY FLORIDA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Maryanne Bolduc
Title
Director of Billing
Phone
(941) 460-3831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

10940 State Road 70 E Ste 101
Lakewood Ranch, FL 34202-8401

Mailing address

3650 N Access Rd
Englewood, FL 34224-8655
Phone (941) 460-3831

Other names 1

  • Total Therapy Florida - Lakewood Ranch Other name

National Provider Directory

National Provider Directory
Tax ID family
Total Therapy Florida LLC7 organizations share this tax ID, including this one
Part of
Total Therapy Florida LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1689411399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 N ACCESS RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342248655",
            "telephone_number": "941-460-3831",
            "fax_number": "941-218-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10940 STATE ROAD 70 E STE 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342028401",
            "telephone_number": "941-867-3737",
            "fax_number": "941-218-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL THERAPY FLORIDA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOTAL THERAPY FLORIDA, LLC",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "BOLDUC",
        "authorized_official_first_name": "MARYANNE",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "941-460-3831"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Therapy Florida - Lakewood Ranch",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.