Physical Therapy Masters, PA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 16806 Issued in FL

Legal business name

PHYSICAL THERAPY MASTERS, PA

Practice address

1763 Grassington Way S
Jacksonville, FL 32223-5007

Phone

(904) 262-9295

Fax

(904) 262-9295

NPI assigned

Jun 25, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Anne Blomgren, M.P.T.

Title

Owner/Physical Therapist

Phone

(904) 262-9295

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1119657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740286525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 GRASSINGTON WAY S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322235007",
            "telephone_number": "904-262-9295",
            "fax_number": "904-262-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 GRASSINGTON WAY S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322235007",
            "telephone_number": "904-262-9295",
            "fax_number": "904-262-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY MASTERS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLOMGREN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "904-262-9295",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 16806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Christine Phuong, LCSW
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• Physical Therapy Associates of Orange Park, Inc
• Physical Therapy Now Holdings LLC (Physical Therapy Now Jacksonville)
• Physical Therapy Solutions Nefl, Inc.
• Physical Wellness and Rehabilitation, LLC (PhysWell Rehab)
• Physician Associates of Jacksonville, PA
• Physician Group Holdings, LLC (Ageless Vein Center)

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.