Mountain Spine and Accident Center, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MOUNTAIN SPINE AND ACCIDENT CENTER, LLC

Practice address

777 Deltona Blvd
Suite 21
Deltona, FL 32725-7173

Phone

(386) 575-2225

Fax

(386) 575-1096

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Matthew Thomas Mountain

Title

Clinic Director

Phone

(386) 575-2225

Specialties & licenses 1

Addresses

Other names 1

• Mountain Medical Center Doing business as

Locations

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902833361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 DELTONA BLVD",
            "address_2": "SUITE 21",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257173",
            "telephone_number": "386-575-2225",
            "fax_number": "386-575-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 DELTONA BLVD",
            "address_2": "SUITE 21",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257173",
            "telephone_number": "386-575-2225",
            "fax_number": "386-575-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SPINE AND ACCIDENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOUNTAIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "386-575-2225"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ivy Grace E Morgan
• Chani Morman, ARNP
• Morningstar Medical, Inc.
• Stephanie D Morris
• Mountain Spine and Accident Center LLC
• Chastity D Moye
• Multicare Physicians PSC
• Kellie Marlyn Muniz, M.D.
• Candace Nicole Murphy
• Regina Rae Murray, APRN

• Physical Therapy Clinic/Center in Deltona, FL
• Providers in Deltona, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.