Modern Physical Therapy Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT7877 Issued in FL

Legal business name

MODERN PHYSICAL THERAPY INC.

Practice address

10610 N 56TH St
Temple Terrace, FL 33617-3641

Phone

(813) 988-1200

Fax

(813) 988-1228

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William C. Rocker

Title

President

Phone

(813) 988-1200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790718088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10610 N 56TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336173641",
            "telephone_number": "813-988-1200",
            "fax_number": "813-988-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10610 N 56TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336173641",
            "telephone_number": "813-988-1200",
            "fax_number": "813-988-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROCKER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-988-1200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT7877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio C Miranda Hernandez, MT
• Santhia Mirtyl, APRN
• Ronald Jacob Mitchell, M.D.
• MJ Precision Testing Center & Services
• Mobile Access LLC
• Stephanie N Monico, OTR
• Ada Montalvo, MENTAL HEALTH COUNSE
• Bella Rose Monteleone
• Abigail Rose Montidoro
• Jadyn Montoya-Prescott

• Physical Therapist in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.