Physical Therapy Associates of Orange Park

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL THERAPY ASSOCIATES OF ORANGE PARK

Practice address

1550 Business Center Dr
Suite B
Orange Park, FL 32003-7450

Phone

(904) 264-6304

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Ed N Collier

Title

President

Phone

(904) 264-6304

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Progressive Step Rehab of Orange Park Doing business as

Tax ID family

Physical Therapy Associates of Orange Park Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Physical Therapy Associates of Orange Park, Inc

  • Physical Therapy Clinic/Center
  • Jacksonville, FL
  • NPI 1104793819
  NPD tax ID
• Physical Therapy Associates of Orange Park, Inc

  • Physical Therapy Clinic/Center
  • Orange Park, FL
  • NPI 1417662875
  NPD tax ID
• Physical Therapy Associates of Orange Park, Inc

  • Physical Therapy Clinic/Center
  • Fleming Island, FL
  • NPI 1508883018
  NPD tax ID

Locations

Practitioners 2

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

• Kelly A Blasser, PT

  • Physical Therapist
  • Orange Park, FL
  • NPI 1336266956
  NPD (past)
• Joel Albert Catz, PT

  • Physical Therapist
  • Orange Park, FL
  • NPI 1972749950
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821160110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 BLANDING BLVD",
            "address_2": "SUITE B",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735018",
            "telephone_number": "904-276-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 BUSINESS CENTER DR",
            "address_2": "SUITE B",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320037450",
            "telephone_number": "904-264-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY ASSOCIATES OF ORANGE PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "ED",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-264-6304"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y904L",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Step Rehab of Orange Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph William Phillips, ARNP-FNP
• Kierin Shemar Philpot
• Physical Therapy & Rehabilitation Clinic Inc
• Physical Therapy and Rehabiliation Clinic Inc
• Physical Therapy and Rehabilitation Clinic Inc
• Physical Therapy Associates of Orange Park, Inc
• Physicians Group Services PA
• Physicians Group Services PA
• Physicians Group Services PA
• Physicians Group Services PA

• Physical Therapist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.