Active NPI
Robert Harvey Springer III, P.T.A.
- Physical Therapy Assistant
- Fernandina, FL
National Provider Identifier
1992244636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA27300
- Practice address
- 1885 S 14TH St
Fernandina, FL 32034 - Phone
- (904) 277-4449
- NPI assigned
- Feb 14, 2017
- Sex
- Male
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | PTA27300 | FL | Primary |
Addresses
Primary practice location
1885 S 14TH St
Fernandina, FL 32034
Mailing address
97049 Cutlass Way
Yulee, FL 32097
Phone (904) 583-9193
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA27300 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1992244636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97049 CUTLASS WAY",
"city": "YULEE",
"state": "FL",
"postal_code": "32097",
"telephone_number": "904-583-9193",
"fax_number": "904-261-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 S 14TH ST",
"city": "FERNANDINA",
"state": "FL",
"postal_code": "32034",
"telephone_number": "904-277-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRINGER",
"first_name": "ROBERT",
"middle_name": "HARVEY",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-14",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA27300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fernandina, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.