Organization Active NPI

Gcoc Physical Therapy

  • Physical Therapy Clinic/Center
  • Hudson, FL
National Provider Identifier
1861546061
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
ME0038324 Issued in FL
Legal business name
GCOC PHYSICAL THERAPY
Practice address
7315 Hudson Ave
Hudson, FL 34667-1158
Phone
(727) 868-9563
Fax
(727) 869-6909
NPI assigned
Jan 23, 2007
Last updated
Jun 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mr. Lisa Dawn Hanshew, CPC
Title
Business Manager
Phone
(727) 868-9563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X ME0038324 FL Primary

Addresses

Primary practice location

7315 Hudson Ave
Hudson, FL 34667-1158

Mailing address

PO Box 5515
Hudson, FL 34674-5515
Phone (727) 868-9563

Other identifiers 2

IdentifierTypeStateIssuer
1060673200OtherFLDEPT OF LABOR
Q56OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1861546061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5515",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346745515",
            "telephone_number": "727-868-9563",
            "fax_number": "727-869-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 HUDSON AVE",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671158",
            "telephone_number": "727-868-9563",
            "fax_number": "727-869-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GCOC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "HANSHEW",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "727-868-9563",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "ME0038324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "1060673200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Q56",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.