NPIMap

Organization Active NPI

Total Therapy Florida LLC

  • Physical Medicine & Rehabilitation Physician
  • Punta Gorda, FL
National Provider Identifier
1811734544
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
TOTAL THERAPY FLORIDA LLC
Practice address
100 Madrid Blvd Ste 212
Punta Gorda, FL 33950-7968
Phone
(941) 646-8510
Fax
(941) 218-5627
NPI assigned
Jul 10, 2024
Organization subpart
Yes
Parent organization
TOTAL THERAPY FLORIDA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Maryanne Bolduc
Title
Director of Billing
Phone
(941) 460-3831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

100 Madrid Blvd Ste 212
Punta Gorda, FL 33950-7968

Mailing address

3650 N Access Rd
Englewood, FL 34224-8655
Phone (941) 460-3831

Other names 1

  • Total Therapy Florida - Punta Gorda Other name

National Provider Directory

National Provider Directory
Tax ID family
Total Therapy Florida LLC7 organizations share this tax ID, including this one
Part of
Total Therapy Florida LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Madrid Blvd
Unit 212
Punta Gorda, FL 33950
Phone (941) 646-8510

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1811734544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 N ACCESS RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342248655",
            "telephone_number": "941-460-3831",
            "fax_number": "941-218-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADRID BLVD STE 212",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339507968",
            "telephone_number": "941-646-8510",
            "fax_number": "941-218-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL THERAPY FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOTAL THERAPY FLORIDA LLC",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "BOLDUC",
        "authorized_official_first_name": "MARYANNE",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "941-460-3831"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Therapy Florida - Punta Gorda",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.