Concierge Physical Therapy Services PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT11720 Issued in FL

Legal business name

CONCIERGE PHYSICAL THERAPY SERVICES PLLC

Practice address

3103 Manatee Ave W
Bradenton, FL 34205-3350

Phone

(941) 447-8040

NPI assigned

Apr 17, 2016

Organization subpart

No

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

Authorized official

Name

Jocelyn Pung, PHYSICAL THERAPIST

Title

President

Phone

(941) 447-8040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1460851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1700230620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 TERRA CEIA BAY BLVD",
            "address_2": "#1702",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215989",
            "telephone_number": "941-447-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342053350",
            "telephone_number": "941-447-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE PHYSICAL THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-17",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "PUNG",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-447-8040",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT11720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexis Caroline Connolly, APRN
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• Physical Therapy Clinic/Center in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.