Organization Active NPI

Paulas Movement Center Inc

  • Home Health Agency
  • St Augustine, FL
National Provider Identifier
1710139639
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PAULAS MOVEMENT CENTER INC
Practice address
409 Ocean Dr
St Augustine, FL 32080-2915
Phone
(904) 460-2591
Fax
(410) 372-4039
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Paula M Mastboom-Bell, PT
Title
Owner/President
Phone
(904) 460-2389

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

409 Ocean Dr
St Augustine, FL 32080-2915

Mailing address

409 Ocean Dr
St Augustine, FL 32080-2915
Phone (904) 460-2591

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1710139639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 OCEAN DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320802915",
            "telephone_number": "904-460-2591",
            "fax_number": "410-372-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 OCEAN DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320802915",
            "telephone_number": "904-460-2591",
            "fax_number": "410-372-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULAS MOVEMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "MASTBOOM-BELL",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "904-460-2389",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.