PROFESSIONAL PHYSICAL THERAPY & REHABILITATION, LLC (NPI# 1184806283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184806283 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL PHYSICAL THERAPY & REHABILITATION, LLC |
| Practice Address |
825 Gum Branch Rd Suite 127 Jacksonville NC 28540-6298 |
| Practice Telephone | 9104389701 |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |
| Authorized Official Name | DANE A. PERSON (OWNER) |
| Authorized Official Telephone | 9104389701 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
9366 | NC | Ambulatory Health Care Facilities |
| Street Address |
825 GUM BRANCH RD SUITE 127 |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28540-6298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760469126 | John Andraos Shalhoub | Counselor | 825 Gum Branch Rd, Ste 122, Jacksonville, NC 28540-6298 | 2005-12-28 |
| 1649559667 | Leeanna Rice | Social Worker | 825 Gum Branch Rd, Suite 117, Jacksonville, NC 28540-6298 | 2011-08-08 |
| 1841501368 | Cnc Access, Inc. | Case Management | 825 Gum Branch Rd, Ste 133, Jacksonville, NC 28540-6298 | 2010-06-30 |
| 1972747806 | Cnc/access, Inc. | Community/Behavioral Health | 825 Gum Branch Rd, Suite 133, Jacksonville, NC 28540-6298 | 2009-04-22 |
| 1558504100 | Cnc Access Inc | Community/Behavioral Health | 825 Gum Branch Rd, Suite 133, Jacksonville, NC 28540-6298 | 2009-04-13 |
| 1194968743 | Cnc Access Inc | Community/Behavioral Health | 825 Gum Branch Rd, Suite 133, Jacksonville, NC 28540-6298 | 2009-04-13 |
| 1720221377 | Cnc Access Inc | Community/Behavioral Health | 825 Gum Branch Rd, Suite 136, Jacksonville, NC 28540-6298 | 2009-04-13 |
| 1649413295 | Cnc Access Inc | Community/Behavioral Health | 825 Gum Branch Rd, Suite 133, Jacksonville, NC 28540-6298 | 2009-04-13 |
| 1104069194 | Cnc Access Inc | Community/Behavioral Health | 825 Gum Branch Rd, Suite 133, Jacksonville, NC 28540-6298 | 2009-04-07 |
| 1235325358 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 825 Gum Branch Rd, Suite 112, Jacksonville, NC 28540-6298 | 2007-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1043782899 | Brice Rivra | Military Health Care Provider | Rr 612 Loop Road, Jacsksonvile, NC 28540 | 2018-12-18 |
| 1649768599 | Alexander John Pybus | Student in an Organized Health Care Education/Training Program | White St Bldg As-100, Jacksonville, NC 28540 | 2018-04-26 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1588183198 | Citizen Community Transport, LLC | Private Vehicle | 220 Foxwood Ct., Jacksonville, NC 28540 | 2017-09-14 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| 1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
| Find all providers in zip 28540 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295351971 | Janet Moulton, Inc. | Clinic/Center | 13241 Bartram Park Blvd Unit 1913, Jacksonville, FL 32258-5228 | 2020-06-18 |
| 1417570326 | Rebound Rehabilitative Services Inc | Clinic/Center | 5913 Normandy Blvd Ste 3, Jacksonville, FL 32205-6269 | 2020-05-26 |
| 1952935769 | Pain Care & Physical Therapy, Inc. | Clinic/Center | 2685 Alexia Cir, Jacksonville, FL 32246-0002 | 2020-03-02 |
| 1124676002 | Her Essence Physical Therapy & Wellness LLC | Clinic/Center | 3890 Dunn Ave Ste 1001, Jacksonville, FL 32218-6429 | 2019-09-03 |
| 1912552977 | Your Place Physical Therapy Pa | Clinic/Center | 14286 Beach Blvd Ste 19-123, Jacksonville, FL 32250-1561 | 2019-08-07 |
| 1871153213 | Rebound Rehabilitative Services Inc | Clinic/Center | 8081 Philips Hwy Ste 5, Jacksonville, FL 32256-7443 | 2019-06-18 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1952852287 | Conlon Physical Therapy, LLC | Clinic/Center | 7545 Centurion Pkwy Ste 104, Jacksonville, FL 32256-4118 | 2016-10-21 |
| 1336699552 | Select Physical Therapy | Clinic/Center | 1328 Vine St, Jacksonville, FL 32207-8743 | 2016-10-12 |
| 1609279405 | Ergo Body Inc. | Clinic/Center | 1555 San Marco Blvd, Jacksonville, FL 32207-2905 | 2014-10-07 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28540 |
Please comment or provide details below to improve the information on PROFESSIONAL PHYSICAL THERAPY & REHABILITATION, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.