Phase1 Mobile PT

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PHASE1 MOBILE PT

Practice address

2809 Traverse Ave
North Port, FL 34286-6958

Phone

(941) 599-1309

NPI assigned

Apr 3, 2026

Organization subpart

No

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

Authorized official

Name

Mariah Finly, PTA

Title

Owner

Phone

(941) 599-1309

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1775174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1932040748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 TRAVERSE AVE",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342866958",
            "telephone_number": "941-599-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 TRAVERSE AVE",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342866958",
            "telephone_number": "941-599-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE1 MOBILE PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "FINLY",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-599-1309",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in North Port, FL
• Providers in North Port, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.