NPIMap

Organization Active NPI

Gulf Coast Med Ctr Physical Therapy

  • Physical Therapist
  • Port Richey, FL
National Provider Identifier
1700852357
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GULF COAST MED CTR PHYSICAL THERAPY
Practice address
11528 US Highway 19
Port Richey, FL 34668-1442
Phone
(727) 861-4770
Fax
(727) 861-3351
NPI assigned
Feb 24, 2006
Last updated
Aug 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Lori Brienza, RN, LHRM, CCS-P
Title
Facilities Director
Phone
(727) 868-2151

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Physical Therapist 225100000X Primary
Massage Therapist 225700000X

Addresses

Primary practice location

11528 US Highway 19
Port Richey, FL 34668-1442

Mailing address

11528 US Highway 19
Port Richey, FL 34668-1442
Phone (727) 861-4770

Other identifiers 2

IdentifierTypeStateIssuer
01589OtherFLUNIVERSAL HEALTH CARE
DE6703OtherFLRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1700852357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11528 US HIGHWAY 19",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346681442",
            "telephone_number": "727-861-4770",
            "fax_number": "727-861-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11528 US HIGHWAY 19",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346681442",
            "telephone_number": "727-861-4770",
            "fax_number": "727-861-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST MED CTR PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "BRIENZA",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "FACILITIES DIRECTOR",
        "authorized_official_telephone_number": "727-868-2151",
        "authorized_official_credential": "RN, LHRM, CCS-P"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL HEALTH CARE",
            "identifier": "01589",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE6703",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.