Victoria Christine Pittman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

534 S 5TH St Ste a
Macclenny, FL 32063-2602

Phone

(904) 259-1649

NPI assigned

Aug 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Victoria C Connor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• John Goetze Physical Therapy, Inc

  • Physical Therapist
  • Macclenny, FL
  • NPI 1568533172
  NPD (past)

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1760037204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7435 W SMOOTH BORE AVE",
            "city": "GLEN ST MARY",
            "state": "FL",
            "postal_code": "320403135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 S 5TH ST STE A",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632602",
            "telephone_number": "904-259-1649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 SW McFarlane Ave",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320255614",
            "country_code": "US",
            "telephone_number": "386-758-4777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "VICTORIA",
        "middle_name": "CHRISTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "CONNOR",
            "middle_name": "C",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Ann Parrish, LMFT
• Peter C. Jansen MD
• Robert Lowell Phillips, O.D.
• Physical Therapy and Rehabiitation Clinic Inc
• Cheryl Ruth Pingel, LMHC
• Jessica Putney, ARNP
• Amit Ranchhod, PHARM.D
• Raynors Pharmacy Inc
• Rejuvene LLC
• Brandice Marie Reynoso, APRN-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.