BRIAN JAMES ROBERTSON (NPI# 1629454541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629454541 |
| Entity Type | Individual |
| Full Name | BRIAN JAMES ROBERTSON |
| Practice Address |
1045 Riverside Ave Ste 190 Jacksonville FL 32204-4189 |
| Mailing Address |
130 5th Ave N Jacksonville Beach FL 32250-7041 |
| Practice Telephone | 9046474284 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 30588 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154546307 | Brian Howard Robertson | Dentist | 34 N Baltimore Ave, Apt. 1, Mount Holly Springs, PA 17065-1328 | 2007-04-14 |
| 1750890620 | Brian Robertson | Nurse Practitioner | 6850 Perimeter Dr Ste D, Dublin, OH 43016-8051 | 2017-09-23 |
| 1619486511 | Brian James Robertson | Emergency Medical Technician, Basic | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2017-09-22 |
| 1023544749 | Brian Todd Robertson | Internal Medicine | 250 Park St, Graduate Medical Education, The Medical Center, Bowling Green, KY 42101-1760 | 2017-05-02 |
| 1376969196 | Brian Robertson | Occupational Therapy Assistant | 7000 Austin St, Suite 200, Forest Hills, NY 11375-1022 | 2014-03-17 |
| 1255613543 | Brian Wilson Robertson | Dentist | 10 N Greene St, Dental Clinic, Baltimore, MD 21201-1524 | 2011-09-13 |
| 1225358997 | Brian Andrew Robertson | Emergency Medicine | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2010-06-04 |
| 1124270277 | Brian Arthur Robertson | Physician Assistant | 2776 N Garey Ave, Pomona, CA 91767-1810 | 2008-10-21 |
| 1558433144 | Brian P Robertson | Physical Therapist | 1117 16th Ave Se, Decatur, AL 35601-3534 | 2006-11-15 |
| 1770664765 | Brian David Robertson | Allergy & Immunology | 8901 Wisconsin Ave., Walter Reed Nmmc, Dept of Medicine/sleep Medicine, Bethesda, MD 20878 | 2006-10-18 |
| Street Address |
1045 RIVERSIDE AVE STE 190 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-4189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516285 | Natasha K Mannel | Physical Therapy Assistant | 1045 Riverside Ave Ste 190, Jacksonville, FL 32204-4189 | 2020-10-20 |
| 1639691108 | Darby Christiana Glackin | Specialist/Technologist | 1045 Riverside Ave Ste 190, Jacksonville, FL 32204-4189 | 2017-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| 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 |
|---|---|---|---|---|
| 1972104198 | Kristen Dragotta | Physical Therapist | 8876 A C Skinner Pkwy Unit 8215, Jacksonville, FL 32256-0909 | 2020-11-04 |
| 1609483361 | Coastal Concierge Physical Therapy LLC | Physical Therapist | 4213 Marblewood Ln, Jacksonville, FL 32216-3614 | 2020-09-28 |
| 1902413644 | Richard Myerston | Physical Therapist | 6650 Corporate Center Pkwy Apt 717, Jacksonville, FL 32216-8730 | 2020-09-27 |
| 1003422551 | Neuro Pt, Pllc | Physical Therapist | 8777 Hampshire Glen Dr S, Jacksonville, FL 32256-9568 | 2020-09-21 |
| 1811500796 | Michael Keagan Kretz | Physical Therapist | 6320 Saint Augustine Rd Ste 1, Jacksonville, FL 32217-2813 | 2020-08-28 |
| 1235741950 | Rachel Peters | Physical Therapist | 8214 Princeton Square Blvd E Apt 808, Jacksonville, FL 32256-8309 | 2020-08-24 |
| 1780293985 | Andrew Willie Oliver | Physical Therapist | 4745 Sutton Park Ct Ste 403, Jacksonville, FL 32224-0255 | 2020-07-24 |
| 1821616004 | Andria Wilson | Physical Therapist | 11705 San Jose Blvd Ste 111, Jacksonville, FL 32223-1653 | 2020-07-14 |
| 1730701509 | Julie Anne Troche | Physical Therapist | 13421 Cedar Hammock Way, Jacksonville, FL 32226-4603 | 2020-05-14 |
| 1891335972 | Focus Physical Therapy Inc | Physical Therapist | 8301 Cypress Plaza Dr Ste 116, Jacksonville, FL 32256-4426 | 2020-01-07 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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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.