Next Phase Medical LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NEXT PHASE MEDICAL LLC

Practice address

3690 E Bay Dr Ste S
Largo, FL 33771-1946

Phone

(727) 275-7668

Fax

(727) 275-8427

NPI assigned

Apr 5, 2019

Organization subpart

No

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

Authorized official

Name

Debra Wittles

Title

Administrator

Phone

(727) 275-7668

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Physical Therapy Now Largo Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Third Phase Medical, LLC Dba Physical Therapy Now, Pinellas Park

  • Physical Medicine & Rehabilitation Physician
  • Pinellas Park, FL
  • NPI 1790319119
  NPPES parent name

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1912469099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 E BAY DR STE S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711946",
            "telephone_number": "727-275-7668",
            "fax_number": "727-275-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 E BAY DR STE S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711946",
            "telephone_number": "727-275-7668",
            "fax_number": "727-275-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT PHASE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "WITTLES",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-275-7668"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PT19324",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Now Largo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physical Therapy Now Largo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neurology Medicine Services of FL, LLC
• Shyler L Neveaux, AP.
• Sabrina Leann Neville
• Preston J Newman
• Steven Wayne Newsom
• Ngo Chiropractic LLC
• Duyen Ngo, D.C.
• Heather Lea Ngo, PA-C
• Henry The Nguyen, D.C.
• Huey The Nguyen, M.D.

• Clinic/Center in Largo, FL
• Providers in Largo, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.