Organization Active NPI

Pain Care & Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1952935769
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PAIN CARE & PHYSICAL THERAPY, INC.
Practice address
2685 Alexia Cir
Jacksonville, FL 32246-0002
Phone
(904) 568-9105
NPI assigned
Mar 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Mr. Ariel M. Mortera, PHYSICAL THERAPISTNPI 1801929054
Title
President/Staff
Phone
(904) 568-9105

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

2685 Alexia Cir
Jacksonville, FL 32246-0002

Mailing address

2685 Alexia Cir
Jacksonville, FL 32246-0002
Phone (904) 568-9105

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1952935769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 ALEXIA CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322460002",
            "telephone_number": "904-568-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 ALEXIA CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322460002",
            "telephone_number": "904-568-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE & PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "MORTERA",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/STAFF",
        "authorized_official_telephone_number": "904-568-9105",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 2, 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.