AGILITY PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC (AGILITY PHYSICAL THERAPY OF ENGLEWOOD) - NPI NUMBER 1649607722

Summary

Provider Name: AGILITY PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC (AGILITY PHYSICAL THERAPY OF ENGLEWOOD)

NPI Number: 1649607722

Clasification: Physical Therapist (225100000X)

Address:
400 S INDIANA AVE
ENGLEWOOD, FL
ZIP 34223

Phone Number: (941) 474-0419



Detailed Information

AGILITY PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC is a physical therapist in Englewood, FL. The provider is (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT�s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient�s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. The assigned NPI number for this provider is 1649607722 and is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Agility Physical Therapy Of Englewood.

The provider's business address is:

400 S INDIANA AVE
ENGLEWOOD, FL
ZIP 34223-752
Phone: (941) 474-0419
Fax: (941) 474-0547

The provider's authorized official is Alan D Dalton .
The authorized official title is Owner/manager and has the following contact phone number (941) 484-8107.

The enumeration date for this NPI number is 10/3/2013 and was last updated on 10/3/2013.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 225100000X Physical Therapist Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1649607722 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name AGILITY PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider Other Organization Name AGILITY PHYSICAL THERAPY OF ENGLEWOOD Other name by which the organization provider is or has been known.
6 Provider Other Organization Name Type Code 3 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
7 Provider First Line Business Practice Location Address 400 S INDIANA AVE The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Business Practice Location Address City Name ENGLEWOOD The city name in the location address of the provider being identified.
9 Provider Business Practice Location Address State Name FL The State code in the location of the provider being identified.
10 Provider Business Practice Location Address Postal Code 342233752 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
11 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
12 Provider Business Practice Location Address Telephone Number 9414740419 The telephone number associated with the location address of the provider being identified.
13 Provider Business Practice Location Address Fax Number 9414740547 The fax number associated with the location address of the provider being identified.
14 Provider Enumeration Date 10/3/2013 The date the provider was assigned a unique identifier (assigned an NPI).
15 Last Update Date 10/3/2013 The date that a record was last updated or changed.
16 Authorized Official Last Name DALTON The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
17 Authorized Official First Name ALAN The first name of the authorized official.
18 Authorized Official Middle Name D The middle name of the authorized official.
19 Authorized Official Title or Position OWNER/MANAGER The title or position of the authorized official.
20 Authorized Official Telephone Number 9414848107 The 10-position telephone number of the authorized official.
21 Healthcare Provider Taxonomy Code 1 225100000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Is Organization Subpart N
24 Authorized Official Name Prefix Text MR.
25 Authorized Official Credential Text MPT, OCS
26 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP

Similar Providers Nearby

NPI Provider Name NPI Type Taxonomy
1023261419 KIM CHANNING DAHLBY, PT Individual Physical Therapist
1013118926 RACHEL RELAO, RPT Individual Physical Therapist
1033509682 BHASHINI NAGALLA Individual Physical Therapist
1023325040 MICHAEL WILLARD HUDSON, PT Individual Physical Therapist
1073632279 MR. JULIAN CARTERA CUEVAS, RPT Individual Physical Therapist
1053314914 MR. TODD DOUGLAS BOTTENFIELD, RPT Individual Physical Therapist (Orthopedic)
1013968874 MR. ERIC BRYAN SCHWARTZ, MPT Individual Physical Therapist (Orthopedic)
1104872043 FANE SIGAL, PT Individual Physical Therapist
1114065992 MRS. JULIET C BARNARD, PT Individual Physical Therapist
1083846513 CARRIE LENEIGH MINICK SHARKEY, MSPT, COMT Individual Physical Therapist
1174700199 BEVERLY ANN HOUSEL, PT Individual Physical Therapist
1194070078 AMANDA N MACIA, PT,DPT Individual Physical Therapist


Download NPI Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.