Advanced Manual Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT18544 Issued in FL

Legal business name

ADVANCED MANUAL PHYSICAL THERAPY

Practice address

33 Ormond Green Blvd
Ormond Beach, FL 32174-8768

Phone

(386) 299-3192

NPI assigned

Nov 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Corey Barr, P.T., D.P.T., M.T.C.

Title

President

Phone

(386) 299-3192

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1780865360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ORMOND GREEN BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748768",
            "telephone_number": "386-299-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ORMOND GREEN BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748768",
            "telephone_number": "386-299-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MANUAL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "COREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-299-3192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.T., D.P.T., M.T.C."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT18544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Advanced Pain Management Inc
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• Advanced Practice Nursing Services, LLC
• Advanced Therapy Clinic, L.L.C.
• Adventhealth Home Health and Hospice Inc

• All providers in Ormond Beach, FL
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.