Imagine Neuromuscular Therapy Center Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

MM32344 Issued in FL

Legal business name

IMAGINE NEUROMUSCULAR THERAPY CENTER INC

Practice address

2568 Commerce Pkwy
North Port, FL 34289-9329

Phone

(941) 429-3320

NPI assigned

Jul 7, 2014

Last updated

Jul 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin C Willis

Title

Owner/VP

Phone

(941) 429-3320

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1932515376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568 COMMERCE PKWY",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342899329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2568 COMMERCE PKWY",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342899329",
            "telephone_number": "941-429-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE NEUROMUSCULAR THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/VP",
        "authorized_official_telephone_number": "941-429-3320"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MM32344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jailyn Hopkins
• Hannah Houle
• Kelsey House
• Kara Hunter
• Shirley Hunter
• Hunter Elizabeth Ingram
• Joann Irving, A.R.N.P.
• Sarfraz A Islam, M.D.
• Kendra Ivey
• Christine A Jackson

• Specialist in North Port, FL
• Providers in North Port, FL by specialty
• Specialist in Florida

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