Organization Active NPI

Trittschuh Physical Therapy Inc

  • Physical Therapist
  • Pierson, FL
National Provider Identifier
1972060937
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRITTSCHUH PHYSICAL THERAPY INC
Practice address
163 W 1St Ave
Pierson, FL 32180-2200
Phone
(386) 749-0612
Fax
(386) 749-0433
NPI assigned
Feb 26, 2019
Organization subpart
Yes
Parent organization
TRITTSCHUH PHYSICAL THERAPY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Dr. Nicholas James Lambert, PTNPI 1396202115
Title
Ceo
Phone
(386) 749-0612

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X

Addresses

Primary practice location

163 W 1St Ave
Pierson, FL 32180-2200

Mailing address

163 W 1St Ave
Pierson, FL 32180-2200
Phone (386) 749-0612

Other identifiers 1

IdentifierTypeStateIssuer
1083762413OtherFLNPPES

Other names 1

  • Trittschuh Physical Therapy Pierson Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080312000401 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0749363752 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Deland, FL; Pierson, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Trittschuh Physical Therapy Inc3 organizations share this tax ID, including this one
Part of
Trittschuh Physical Therapy Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

890 N Boundary Ave
Ste 200
Deland, FL 32720
Phone (386) 738-3456

116 W 1st Ave
Bldg 3
Pierson, FL 32180
Phone (386) 749-0612

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

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": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1972060937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 W 1ST AVE",
            "city": "PIERSON",
            "state": "FL",
            "postal_code": "321802200",
            "telephone_number": "386-749-0612",
            "fax_number": "386-749-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 W 1ST AVE",
            "city": "PIERSON",
            "state": "FL",
            "postal_code": "321802200",
            "telephone_number": "386-749-0612",
            "fax_number": "386-749-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRITTSCHUH PHYSICAL THERAPY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRITTSCHUH PHYSICAL THERAPY INC",
        "enumeration_date": "2019-02-26",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-749-0612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1083762413",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trittschuh Physical Therapy Pierson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trittschuh Physical Therapy Pierson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pierson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.