Organization Active NPI

Quest 4 Health Sports Therapy

  • Health Educator
  • Inverness, FL
National Provider Identifier
1982993663
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
MA61931 Issued in FL
Legal business name
QUEST 4 HEALTH SPORTS THERAPY
Practice address
209 S. Apopka Avenue
Inverness, FL 34452-9612
Phone
(352) 364-4133
Fax
(866) 793-3414
NPI assigned
Apr 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Pamela Kirich Delaney, NMT
Title
Officer
Phone
(352) 364-4133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X MA61931 FL Primary

Addresses

Primary practice location

209 S. Apopka Avenue
Inverness, FL 34452-9612

Mailing address

209 S. Apopka Avenue
Inverness, FL 34452-9612
Phone (352) 364-4133

Other identifiers 3

IdentifierTypeStateIssuer
MA61931OtherFLALL INSURANCE
MA62884OtherFLALL INSURANCE
MA61954OtherFLALL INSURANCE

Other names 1

  • Serenity Quest Foundation Former legal business name

National Provider Directory

National Provider Directory

Locations

209 S Apopka Ave
Inverness, FL 34452
Phone (352) 364-4133

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1982993663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S. APOPKA AVENUE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344529612",
            "telephone_number": "352-364-4133",
            "fax_number": "866-793-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S. APOPKA AVENUE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344529612",
            "telephone_number": "352-364-4133",
            "fax_number": "866-793-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST 4 HEALTH SPORTS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "DELANEY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "KIRICH",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "352-364-4133",
        "authorized_official_credential": "NMT"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": "FL",
            "license": "MA61931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL INSURANCE",
            "identifier": "MA61931",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL INSURANCE",
            "identifier": "MA62884",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL INSURANCE",
            "identifier": "MA61954",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Quest Foundation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.