Active NPI
Camy Erlandson, DPT
- Physical Therapist
- Jacksonville Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 41127
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-32705 | AZ | MD | Physical Therapist |
| 41127 | FL | MD | Physical Therapist |
| 61405305 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concierge Physio LLC | Physical Therapist | Current | Accepting new patients |
| Results-Ast JV, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Jacksonville Beach, FL
- NPI 1013559632
-
- Physical Therapist
- Franklin, TN
- NPI 1780291948
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.