Physical Therapy Specialists, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT 22291 Issued in FL

Legal business name

PHYSICAL THERAPY SPECIALISTS, LLC

Practice address

397 Palm Coast Parkway SW
Unit 4
Palm Coast, FL 32137-4777

Phone

(386) 447-0610

Fax

(386) 447-0670

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Rosa Panos, PTNPI 1871534339

Title

MGRM

Phone

(386) 447-0610

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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

• Rosa Panos, PT, AP, DIPL O.M.

  • Physical Therapist
  • Palm Coast, FL
  • NPI 1871534339
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole Marcelli, PT

  • Orthopedic Physical Therapist
  • Palm Coast, FL
  • NPI 1336189216
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1699715599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 PALM COAST PARKWAY SW",
            "address_2": "UNIT 4",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374777",
            "telephone_number": "386-447-0610",
            "fax_number": "386-447-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 PALM COAST PARKWAY SW",
            "address_2": "UNIT 4",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374777",
            "telephone_number": "386-447-0610",
            "fax_number": "386-447-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "PANOS",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "386-447-0610",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT 22291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Anderson Philip, DNP, AG-ACNP
• Andy Littleton Phillips, MS
• Phoenix Primary Care LLC
• Physical Therapy & Wellness in Motion, Inc
• Physical Therapy Professionals & Associates, Inc.
• Aurora Picardat, APRN
• Bryana Picciarelli
• Claudia G Pierce
• Sophia Pierce, DC
• Kervens Pierre Louis

• Orthopedic Physical Therapist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.