Organization Active NPI

Journey to Harmony Physical Therapy

  • Physical Therapy Clinic/Center
  • Apollo Beach, FL
National Provider Identifier
1790138899
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT25953 Issued in FL
Legal business name
JOURNEY TO HARMONY PHYSICAL THERAPY
Practice address
5232 Moon Shell Dr
Apollo Beach, FL 33572-3522
Phone
(904) 536-7262
NPI assigned
Jul 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Authorized official

Name
Ivory Keona Jones-Jennings, PT,DPTNPI 1093168197
Title
Physical Therapist
Phone
(904) 536-7262

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT25953 FL Primary

Addresses

Primary practice location

5232 Moon Shell Dr
Apollo Beach, FL 33572-3522

Mailing address

219 Flamingo Dr
#3312
Apollo Beach, FL 33572-7001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161201001368 FL Part B Supplier - Clinic/Group Practice 4284914649 Receives reassigned benefits from 1 practitioner
Practice locations: Ruskin, FL

National Provider Directory

National Provider Directory

Locations

207 4th St NW
Ruskin, FL 33570
Phone (813) 641-3900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1790138899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 FLAMINGO DR",
            "address_2": "#3312",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335727001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5232 MOON SHELL DR",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335723522",
            "telephone_number": "904-536-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY TO HARMONY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "JONES-JENNINGS",
        "authorized_official_first_name": "IVORY",
        "authorized_official_middle_name": "KEONA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "904-536-7262",
        "authorized_official_credential": "PT,DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT25953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apollo Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.

Verify at the official NPI Registry.