Southern Therapies of North Florida

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

SOUTHERN THERAPIES OF NORTH FLORIDA

Practice address

6050 Saint Johns Ave
Suite 1
Palatka, FL 32177-3895

Phone

(386) 312-0022

Fax

(386) 312-0535

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Amanda Bennett

Title

Billing

Phone

(386) 312-0022

Specialties & licenses 2

Addresses

Other names 1

• Southern Therapy and Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southern Therapies of North Florida Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Palatka, FL
  • NPI 1053305748

  O20100903000984

  Same enrollment

Tax ID family

Southern Therapies of North Florida2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Southern Therapies of North Florida Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Palatka, FL
  • NPI 1053305748
  NPD tax ID

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1871514752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 SAINT JOHNS AVE",
            "address_2": "SUITE 1",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773895",
            "telephone_number": "386-312-0022",
            "fax_number": "386-312-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 SAINT JOHNS AVE",
            "address_2": "SUITE 1",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773895",
            "telephone_number": "386-312-0022",
            "fax_number": "386-312-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN THERAPIES OF NORTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "386-312-0022"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Therapy and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melvin Smith
• Juliana Sobczyk, MD
• Solaris Healthcare Palatka LLC
• Somnia Sleep Solutions LLC
• Sodang Daniel Sou, PHARMACIST
• Southern Therapies of North Florida Inc
• Brian J Sprenger, ARNP
• St Augustine Physicians Associates, Inc.
• St Johns Eye Care P a
• St. Augustine Physician Associates, Inc

• Occupational Therapist in Palatka, FL
• Providers in Palatka, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.