Organization Active NPI

Sensory DPT PLLC

  • Pediatric Physical Therapist
  • Middleburg, FL
National Provider Identifier
1992402770
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
SENSORY DPT PLLC
Practice address
1646 Corsair LN Ste 603
Middleburg, FL 32068-8562
Phone
(904) 458-7655
NPI assigned
Feb 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Dr. Beverly Ivette Reyes, PT, DPTNPI 1639623572
Title
Physical Therapist
Phone
(904) 458-7655

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
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X Primary

Addresses

Primary practice location

1646 Corsair LN Ste 603
Middleburg, FL 32068-8562

Mailing address

6360 Plantation Bay Dr N
Jacksonville, FL 32244-5167
Phone (904) 496-4273

National Provider Directory

National Provider Directory

Locations

1646 Corsair Ln
Ste 603
Middleburg, FL 32068
Phone (904) 458-7655

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": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1992402770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 PLANTATION BAY DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445167",
            "telephone_number": "904-496-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 CORSAIR LN STE 603",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688562",
            "telephone_number": "904-458-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENSORY DPT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "IVETTE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "904-458-7655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.