Active NPI
Pooja Rana
- Physical Therapist
- Fleming Island, FL
National Provider Identifier
1982326864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT39290
- Practice address
- 1550 Business Center Dr Ste B
Fleming Island, FL 32003-4416 - Phone
- (904) 404-0703
- NPI assigned
- Sep 16, 2022
- Last updated
- Sep 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT39290 | FL | Primary |
Addresses
Primary practice location
1550 Business Center Dr Ste B
Fleming Island, FL 32003-4416
Mailing address
1550 Business Center Dr Ste B
Fleming Island, FL 32003-4416
Other practice location 1
8081 Philips Hwy Ste 5
Jacksonville, FL 32256-7443
Phone (904) 406-8119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- pooja.rana.1@25110.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1982326864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 BUSINESS CENTER DR STE B",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320034416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 BUSINESS CENTER DR STE B",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320034416",
"telephone_number": "904-404-0703"
}
],
"practiceLocations": [
{
"address_1": "8081 Philips Hwy Ste 5",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322567443",
"country_code": "US",
"telephone_number": "904-406-8119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANA",
"first_name": "POOJA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-16",
"last_updated": "2022-09-16",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT39290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fleming Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.