Organization Active NPI

Palm Garden Therapy at Home, LLC

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1972103851
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PALM GARDEN THERAPY AT HOME, LLC
Practice address
2033 Main Street
Suite 300
Sarasota, FL 34237-6056
Phone
(941) 365-3534
NPI assigned
Oct 29, 2020
Organization subpart
Yes
Parent organization
SUMMERWOOD HEALTHCARE HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Mr. Marc A Lange, PT
Title
Vice President of Operations
Phone
(941) 365-3534

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

2033 Main Street
Suite 300
Sarasota, FL 34237-6056

Mailing address

2033 Main Street
Suite 300
Sarasota, FL 34237-6056
Phone (941) 365-3534

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.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1972103851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 MAIN STREET",
            "address_2": "SUITE 300",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376056",
            "telephone_number": "941-365-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 MAIN STREET",
            "address_2": "SUITE 300",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376056",
            "telephone_number": "941-365-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM GARDEN THERAPY AT HOME, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMERWOOD HEALTHCARE HOLDINGS LLC",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "941-365-3534",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.