OVERLORD LLC (NPI# 1578935763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578935763 |
| Entity Type | Organization |
| Organization Name | OVERLORD LLC |
| Other Organization Name | OVERLORD REHAB |
| Practice Address |
523 Magnolia Trace Blvd Palm Coast FL 32164-2389 |
| Mailing Address |
1208 N Halifax Ave Daytona Beach FL 32118-3657 |
| Practice Telephone | 3863150778 |
| Practice Fax Number | 3868725671 |
| Mailing Telephone | 3863150778 |
| Mailing Fax Number | 3868725671 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |
| Authorized Official Name | DEBORAH JARNAGIN (PRESIDENT) |
| Authorized Official Telephone | 3863150778 |
| Authorized Official Credential | D.P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT28303 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| OVERLORD REHAB | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | OVERLORD LLC | 621 33rd Ave E, Seattle, WA 98112-4301 |
| Street Address |
523 MAGNOLIA TRACE BLVD |
| City | PALM COAST |
| State | FL |
| Zip Code | 32164-2389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561044 | Ereka Manangan | Pharmacist | 5000 E, Fl-100, Palm Coast, FL 32164 | 2020-09-01 |
| 1427661735 | George Allen Parker | Pharmacist | 5000 E Hwy 100, Palm Coast, FL 32164 | 2020-08-26 |
| 1891318424 | Faithangel Corp | In Home Supportive Care | 125 Pine Grove Dr, Palm Coast, FL 32164 | 2020-05-18 |
| 1578101481 | Sweetie Peetie LLC | Hearing Instrument Specialist | 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 | 2019-12-11 |
| 1831656610 | Dolphin Medical Transport LLC | Taxi | 30 Westmoreland Dr, Palm Coast, FL 32164 | 2019-02-27 |
| 1003389024 | Southeast Snoring & Sleep Apnea Group | Durable Medical Equipment & Medical Supplies | 108 Pennacles Dr. #101, Palm Coast, FL 32164 | 2019-01-03 |
| 1801388137 | Lily Michelle King | Licensed Practical Nurse | 8 Regent Ln, Palm Coast, FL 32164 | 2018-06-01 |
| 1558880120 | Bryan Mendes | Physical Therapist | 1 Westrock Ln, Palm Coast, FL 32164 | 2017-09-14 |
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1952825283 | Emily Guarino | Behavior Technician | 136a Wellwood Lane, Palm Coast, FL 32164 | 2017-07-28 |
| Find all providers in zip 32164 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (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. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291763 | Andres Sanchez | Physical Therapist | 120 Cypress Edge Dr Ste 101, Palm Coast, FL 32164-8454 | 2019-08-21 |
| 1649827031 | Anthony Vada Jones | Physical Therapist | 60 Memorial Medical Pkwy Ste 100, Palm Coast, FL 32164-5980 | 2019-08-21 |
| 1598250979 | Alta Parsons | Physical Therapist | 31 Lupi Ct Ste 150, Palm Coast, FL 32137-4761 | 2018-06-27 |
| 1356845994 | Nicolas Martin | Physical Therapist | 29 Round Tree Dr, Palm Coast, FL 32164-6955 | 2018-03-20 |
| 1558880120 | Bryan Mendes | Physical Therapist | 1 Westrock Ln, Palm Coast, FL 32164 | 2017-09-14 |
| 1043750276 | Starace Total Balance Physical Therapy P.a. | Physical Therapist | 32 Bannbury Ln, Palm Coast, FL 32137-8848 | 2017-03-07 |
| 1922543255 | Megan Katherine Dickerson | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 | 2016-12-22 |
| 1245783976 | Aaron Paul Tillman | Physical Therapist | 1 Florida Park Drive, Suite # 230, Palm Coast, FL 32137 | 2016-07-29 |
| 1083081731 | Brenton Latta | Physical Therapist | 31 Avalon Dr, Palm Coast, FL 32137-2520 | 2015-08-28 |
| 1669816559 | Flagler County Therapy Specialists | Physical Therapist | 56 Ryberry Dr, Palm Coast, FL 32164-6439 | 2013-04-22 |
| Find all providers in PALM COAST | ||||
| City | PALM COAST |
| Zip Code | 32164 |
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| 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.