Organization Active NPI

Physiopower, LLC

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1689707119
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8104 Issued in FL
Legal business name
PHYSIOPOWER, LLC
Practice address
249 Orange Ave
Jacksonville, FL 32259-4215
Phone
(904) 230-7148
Fax
(904) 230-7148
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Eileen Davies, P.T.NPI 1750373114
Title
Owner
Phone
(904) 230-7148

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT8104 FL Primary

Addresses

Primary practice location

249 Orange Ave
Jacksonville, FL 32259-4215

Mailing address

249 Orange Ave
Jacksonville, FL 32259-4215
Phone (904) 230-7148

National Provider Directory

National Provider Directory

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1689707119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 ORANGE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322594215",
            "telephone_number": "904-230-7148",
            "fax_number": "904-230-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 ORANGE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322594215",
            "telephone_number": "904-230-7148",
            "fax_number": "904-230-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOPOWER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-230-7148",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT8104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.