Active NPI
Robert Langston Tugwell, P.T.
- Physical Therapist
- Daytona Beach, FL
National Provider Identifier
1811163181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19739
- Practice address
- 160 S Beach St
Daytona Beach, FL 32114-4408 - Phone
- (386) 295-0753
- NPI assigned
- May 6, 2008
- Last updated
- May 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 19739 | FL | Primary |
Addresses
Primary practice location
160 S Beach St
Daytona Beach, FL 32114-4408
Mailing address
15 Ivey LN
Flagler Beach, FL 32136-4935
Phone (386) 517-0025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19739 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Rehab LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Daytona Beach, FL
- NPI 1124209119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1811163181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 IVEY LN",
"city": "FLAGLER BEACH",
"state": "FL",
"postal_code": "321364935",
"telephone_number": "386-517-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 S BEACH ST",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144408",
"telephone_number": "386-295-0753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUGWELL",
"first_name": "ROBERT",
"middle_name": "LANGSTON",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-06",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "19739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.