Organization Active NPI

Your Place Physical Therapy PA

  • Physical Therapy Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1912552977
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
YOUR PLACE PHYSICAL THERAPY PA
Doing business as
Your Place Physical Therapy
Practice address
14286 Beach Blvd Ste 19-123
Jacksonville, FL 32250-1561
Phone
(904) 537-0301
NPI assigned
Aug 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Authorized official

Name
Frank Allen, PT, DPTNPI 1568896504
Title
Director and Physical Therapist
Phone
(904) 537-0301

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 Primary

Addresses

Primary practice location

14286 Beach Blvd Ste 19-123
Jacksonville, FL 32250-1561

Mailing address

14286 Beach Blvd Ste 19-123
Jacksonville, FL 32250-1561
Phone (904) 537-0301

Other names 1

  • Your Place Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

14286 Beach Blvd
Ste 19123
Jacksonville, FL 32250
Phone (904) 537-0301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1912552977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14286 BEACH BLVD STE 19-123",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501561",
            "telephone_number": "904-537-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14286 BEACH BLVD STE 19-123",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501561",
            "telephone_number": "904-537-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR PLACE PHYSICAL THERAPY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DIRECTOR AND PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "904-537-0301",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Place Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.