John Davidson Floyd III, OTRL

Primary specialty

SpecialistTaxonomy code 174400000X

License

10233 Issued in FL

Practice address

3901 16TH St N
St Petersburg, FL 33703-5603

Phone

(727) 526-5432

Fax

(727) 526-5432

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visitry Florida LLCGroup PAC ID 4688016272, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Visitry Florida LLC

  • Physical Therapist
  • Tampa, FL
  • NPI 1659131837
  Medicare reassignment Care Compare group NPD
• Integrative Therapy Services Incorporated

  • Speech-Language Pathologist
  • Saint Petersburg, FL
  • NPI 1437363363
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1710191622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W FRANCES AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336022005",
            "telephone_number": "813-225-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337035603",
            "telephone_number": "727-526-5432",
            "fax_number": "727-526-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "JOHN",
        "middle_name": "DAVIDSON",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "10233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886748800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Weight Loss LLC
• Florida Woman Care,LLC
• Florida'S Natural Farmacy Inc
• Jasmine Flounory
• Becky Anne Flowers, RCSWI
• Adreika V Fluellen
• Gregory Thomas Flynn, M.D.
• Dina Flynt, LMHC
• FMSG All Florida Orthopaedic Associates, LLC
• Focus Behavioral Supports, LLC

• Specialist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.