NPIMap

Organization Active NPI

Physio Sports Med, Inc.

  • Physical Therapy Clinic/Center
  • Apopka, FL
National Provider Identifier
1871853929
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
27064 Issued in FL
Legal business name
PHYSIO SPORTS MED, INC.
Practice address
1783 Imperial Palm Dr
Apopka, FL 32712-2476
Phone
(908) 723-0876
NPI assigned
May 23, 2012
Last updated
May 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Frank B Van Kouwen, PTNPI 1720347156
Title
President
Phone
(908) 723-0876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 27064 FL Primary

Addresses

Primary practice location

1783 Imperial Palm Dr
Apopka, FL 32712-2476

Mailing address

1783 Imperial Palm Dr
Apopka, FL 32712-2476
Phone (908) 723-0876

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1871853929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 IMPERIAL PALM DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122476",
            "telephone_number": "908-723-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 IMPERIAL PALM DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122476",
            "telephone_number": "908-723-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO SPORTS MED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "VAN KOUWEN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-723-0876",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "27064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.