Physical Intelligence LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

18058 Issued in FL

Legal business name

PHYSICAL INTELLIGENCE LLC

Practice address

180 Marine St
St Augustine, FL 32084-5153

Phone

(904) 616-1282

NPI assigned

Sep 15, 2009

Organization subpart

No

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

Authorized official

Name

Antonio Joaquin Varela, PT

Title

Owner

Phone

(904) 616-1282

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Xiao Bo Wang, OTR/L

  • Occupational Therapist
  • St Augustine, FL
  • NPI 1194039727
  NPD (past)

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1942533591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MARINE ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MARINE ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845153",
            "telephone_number": "904-616-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL INTELLIGENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "VARELA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "JOAQUIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-616-1282",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "18058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jhaleil Phillips, OD
• Morgan Phillips
• Story Phillips, MS CCC-SLP
• Phoenix CM Incorporated
• Phoenix Rises Acupuncture
• Physical Intelligence St. Augustine
• Physical Therapy on Demand LLC
• Physician Associates Group, Inc.
• Amy M Piazza, OTRL CHT
• Carolyn Piazza

• Orthopedic Physical Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.