Active NPI
Atlas Physical Fitness
Doing business as Total injury physical therapy and interventional pain management
- Physical Therapy Clinic/Center
- Tavares, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ATLAS PHYSICAL FITNESS
- Doing business as
- Total injury physical therapy and interventional pain management
- Practice address
- 854 S Duncan Dr
Tavares, FL 32778-4044 - Phone
- (352) 205-6147
- Fax
- (352) 306-0571
- NPI assigned
- Nov 26, 2024
- Last updated
- Dec 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elmer Brignoni, DPT
- Title
- President
- Phone
- (352) 205-6147
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
854 S Duncan Dr
Tavares, FL 32778-4044
Mailing address
1011 Riviera Dr
Leesburg, FL 34748-6741
Phone (352) 205-6147
Other names 1
- Total injury physical therapy and interventional pain management
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
854 S Duncan Dr
Tavares, FL 32778
Phone (352) 205-6147
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735516800000",
"number": "1760208557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 RIVIERA DR",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347486741",
"telephone_number": "352-205-6147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "854 S DUNCAN DR",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784044",
"telephone_number": "352-205-6147",
"fax_number": "352-306-0571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLAS PHYSICAL FITNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-26",
"last_updated": "2024-12-30",
"certification_date": "2024-12-19",
"status": "A",
"authorized_official_last_name": "BRIGNONI",
"authorized_official_first_name": "ELMER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-205-6147",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Total injury physical therapy and interventional pain management",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Total injury physical therapy and interventional pain management",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.