Active NPI
Sea Ranch Physical Therapy Center Inc
- Physical Therapy Clinic/Center
- Key Largo, FL
National Provider Identifier
1992847479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT3855
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y916B | Other | FL | BLUE SHIELD PROVIDER # |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Lauderdale by the Sea, FL
- NPI 1659511350
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.