Individual provider Active NPI

Camy Erlandson, DPT

  • Physical Therapist
  • Jacksonville Beach, FL
National Provider Identifier
1841901428
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41127 Issued in FL
Practice address
708 3Rd St N
Jacksonville Beach, FL 32250-7149
Phone
(904) 404-0317
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 61405305 WA
Physical Therapist 225100000X 15220 TN
Physical Therapist 225100000X LPT-32705 AZ
Physical Therapist 225100000X 41127 FL Primary

Addresses

Primary practice location

708 3Rd St N
Jacksonville Beach, FL 32250-7149

Mailing address

15410 S Mountain Pkwy Ste 112
Phoenix, AZ 85044-6691
Phone (480) 410-4727

Other practice location 1

3305 N Swan Rd
Tucson, AZ 85712-1287
Phone (520) 321-0204

Other practice location 2

19321 Mountain Hwy E Ste 100
Spanaway, WA 98387-8450
Phone (253) 846-8918

Other practice location 3

323 W Sam Ridley Pkwy
Smyrna, TN 37167-5625
Phone (615) 220-1417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230926001514 TN Practitioner - Physical Therapist in Private Practice 7315316361 Reassigns benefits to 1 organization
I20240201000762 FL Practitioner - Physical Therapist in Private Practice 7315316361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concierge Physio LLCGroup PAC ID 4082047667, 14 clinicians

Practice addresses (Care Compare)

708 3Rd St N
Jacksonville Beach, FL 32250-7149
Phone (904) 822-4622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-32705AZMDPhysical Therapist
41127FLMDPhysical Therapist
61405305WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Physio LLC Physical Therapist CurrentSince Jan 29, 2024 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Aug 7, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

708 3rd St N
Jax Bch, FL 32250
Phone (904) 822-4622

323 W Sam Ridley Pkwy
Smyrna, TN 37167
Phone (615) 220-1417

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1841901428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15410 S MOUNTAIN PKWY STE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446691",
            "telephone_number": "480-410-4727",
            "fax_number": "480-706-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 3RD ST N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322507149",
            "telephone_number": "904-404-0317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3305 N Swan Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857121287",
            "country_code": "US",
            "telephone_number": "520-321-0204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19321 Mountain Hwy E Ste 100",
            "address_purpose": "LOCATION",
            "city": "Spanaway",
            "state": "WA",
            "postal_code": "983878450",
            "country_code": "US",
            "telephone_number": "253-846-8918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "323 W Sam Ridley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371675625",
            "country_code": "US",
            "telephone_number": "615-220-1417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERLANDSON",
        "first_name": "CAMY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61405305",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15220",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-32705",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "41127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.