Organization Active NPI

Sea Ranch Physical Therapy Center Inc

  • Physical Therapy Clinic/Center
  • Key Largo, FL
National Provider Identifier
1992847479
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT3855 Issued in FL
Legal business name
SEA RANCH PHYSICAL THERAPY CENTER INC
Practice address
103400 Overseas Hwy
Ste 111
Key Largo, FL 33037-2834
Phone
(954) 785-4776
Fax
(954) 785-9789
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Lori M Richardson, PT
Title
President
Phone
(954) 785-4776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT3855 FL Primary

Addresses

Primary practice location

103400 Overseas Hwy
Ste 111
Key Largo, FL 33037-2834

Mailing address

103400 Overseas Hwy
Ste 111
Key Largo, FL 33037-2834
Phone (954) 785-4776

Other identifiers 1

IdentifierTypeStateIssuer
Y916BOtherFLBLUE SHIELD PROVIDER #

National Provider Directory

National Provider Directory

Locations

103400 Overseas Hwy
#2401
Key Largo, FL 33037
Phone (305) 395-6474

103400 Overseas Hwy
Ste 111
Key Largo, FL 33037
Phone (305) 395-6474

4747 N Ocean Dr
Ste 261
Lauderdale by the Sea, FL 33308
Phone (954) 545-4922

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1992847479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103400 OVERSEAS HWY",
            "address_2": "STE 111",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372834",
            "telephone_number": "954-785-4776",
            "fax_number": "954-785-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103400 OVERSEAS HWY",
            "address_2": "STE 111",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372834",
            "telephone_number": "954-785-4776",
            "fax_number": "954-785-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA RANCH PHYSICAL THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-785-4776",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT3855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "Y916B",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Key Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.