Organization Active NPI

Chipley Physical Therapy

Doing business as Absolute Physical Therapy

  • Physical Therapist
  • Chipley, FL
National Provider Identifier
1881944916
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CHIPLEY PHYSICAL THERAPY
Doing business as
Absolute Physical Therapy
Practice address
1695 Main St
Chipley, FL 32428-5992
Phone
(850) 638-3387
Fax
(850) 415-1967
NPI assigned
Sep 17, 2012
Last updated
Sep 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
Mr. Ruben Alonzo Laurel
Title
Ceo
Phone
(850) 638-3387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1695 Main St
Chipley, FL 32428-5992

Mailing address

1695 Main St
Chipley, FL 32428-5992
Phone (850) 638-3387

Other names 1

  • Absolute Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chipley Physical Therapy2 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.

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1881944916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 MAIN ST",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324285992",
            "telephone_number": "850-638-3387",
            "fax_number": "850-415-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 MAIN ST",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324285992",
            "telephone_number": "850-638-3387",
            "fax_number": "850-415-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIPLEY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "LAUREL",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "ALONZO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-638-3387",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chipley, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.