Adamantine Physical Therapy and Human Performance LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ADAMANTINE PHYSICAL THERAPY AND HUMAN PERFORMANCE LLC

Practice address

16113 Loneoak View Dr
Lithia, FL 33547-4897

Phone

(207) 232-8692

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

James Godin, DPT

Title

Owner

Phone

(207) 232-8692

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1750033239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16113 LONEOAK VIEW DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335474897",
            "telephone_number": "207-232-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16113 LONEOAK VIEW DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335474897",
            "telephone_number": "207-232-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMANTINE PHYSICAL THERAPY AND HUMAN PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "GODIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-232-8692",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.