Organization Active NPI

Therafit Physical Therapy, LLC.

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1992210223
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THERAFIT PHYSICAL THERAPY, LLC.
Practice address
2008 Riverside Ave Ste 300
Jacksonville, FL 32204-4459
Phone
(904) 868-9268
NPI assigned
Dec 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Authorized official

Name
Mrs. Stephanie Ambridge Wilkinson, MPTNPI 1992822001
Title
Owner
Phone
(904) 868-9268

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X FL Primary

Addresses

Primary practice location

2008 Riverside Ave Ste 300
Jacksonville, FL 32204-4459

Mailing address

1755 Mayview Rd
Jacksonville, FL 32210-2219
Phone (904) 868-9268

National Provider Directory

National Provider Directory

Locations

2008 Riverside Ave
Ste 300
Jacksonville, FL 32204
Phone (904) 321-9418

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": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1992210223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 MAYVIEW RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102219",
            "telephone_number": "904-868-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 RIVERSIDE AVE STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044459",
            "telephone_number": "904-868-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAFIT PHYSICAL THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "AMBRIDGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-868-9268",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "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 Jan 19, 2018; 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.