NPIMap

Organization Active NPI

Mobile Physical Therapy, Inc.

  • Physical Therapist
  • Port St Lucie, FL
National Provider Identifier
1871674473
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0013567 Issued in FL
Legal business name
MOBILE PHYSICAL THERAPY, INC.
Practice address
814 SW Glenview CT
Port St Lucie, FL 34953-2684
Phone
(772) 871-6952
Fax
(772) 871-6980
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Elizabeth A Oreo, PT
Title
Pres
Phone
(772) 871-6952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 0013567 FL Primary

Addresses

Primary practice location

814 SW Glenview CT
Port St Lucie, FL 34953-2684

Mailing address

814 SW Glenview CT
Port St Lucie, FL 34953-2684
Phone (772) 871-6952

National Provider Directory

National Provider Directory

Locations

814 SW Glenview Ct
Port St Lucie, FL 34953
Phone (772) 871-6952

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1871674473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 SW GLENVIEW CT",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532684",
            "telephone_number": "772-871-6952",
            "fax_number": "772-871-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 SW GLENVIEW CT",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532684",
            "telephone_number": "772-871-6952",
            "fax_number": "772-871-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "OREO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "772-871-6952",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "0013567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.