Organization Active NPI

Therapia, Inc.

Doing business as Beaches Rehabilitation Center

  • Physical Therapy Assistant
  • Neptune Beach, FL
National Provider Identifier
1912316134
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA24878 Issued in FL
Legal business name
THERAPIA, INC.
Doing business as
Beaches Rehabilitation Center
Practice address
700 3Rd St
Suite 202
Neptune Beach, FL 32266-5072
Phone
(904) 249-5020
Fax
(904) 241-7777
NPI assigned
Aug 13, 2014
Last updated
Aug 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Miss Cassidi Randall
Title
Director of Eligibility
Phone
(904) 249-5020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X PTA24878 FL Primary

Addresses

Primary practice location

700 3Rd St
Suite 202
Neptune Beach, FL 32266-5072

Mailing address

1015 Atlantic Blvd
#214
Atlantic Beach, FL 32233-3313
Phone (904) 249-5020

Other identifiers 1

IdentifierTypeStateIssuer
686677OtherFLMEDICARE PTAN

Other names 1

  • Beaches Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beaches Rehabilitation Center2 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": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1912316134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 ATLANTIC BLVD",
            "address_2": "#214",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322333313",
            "telephone_number": "904-249-5020",
            "fax_number": "904-241-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 3RD ST",
            "address_2": "SUITE 202",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322665072",
            "telephone_number": "904-249-5020",
            "fax_number": "904-241-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "CASSIDI",
        "authorized_official_title_or_position": "DIRECTOR OF ELIGIBILITY",
        "authorized_official_telephone_number": "904-249-5020",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA24878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PTAN",
            "identifier": "686677",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaches Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neptune Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.