{"npi":"1417023730","type":"NPI-2","status":"active","name":{"display":"Florida Physical Therapy & Rehabilitative Services INC","other":[],"organization_name":"FLORIDA PHYSICAL THERAPY & REHABILITATIVE SERVICES INC","authorised_official":"Gerald Goldstein"},"specialty":{"primary_taxonomy":"261QR0400X","primary_taxonomy_description":"Rehabilitation Clinic/Center","slug":"rehabilitation-clinic-center","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"261QR0400X","description":"Rehabilitation Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"600 W NORTH BLVD","city":"LEESBURG","state":"FL","postal_code":"347485063","country_code":"US","street_2":"SUITE D","phone":"3527286636","fax":"3527874522"},{"purpose":"MAILING","street_1":"600 W NORTH BLVD","city":"LEESBURG","state":"FL","postal_code":"347485063","country_code":"US","street_2":"SUITE D","phone":"3527286636","fax":"3527874522"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"R39","state":"FL","issuer":"BCBS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20080917000067","type_code":"00-14","type_desc":"PART A PROVIDER - OUTPATIENT PHYSICAL THERAPY/OCCUPATIONAL THERAPY/SPEECH PATHOLOGY SERVICES","state":"FL","pac_id":"0941377931"}]},"enumeration_date":"2006-11-28","last_updated":"2020-04-22","_meta":{"source":"NPPES","snapshot_date":"2020-04-22","doc_url":"https://findmynpi.com/api"}}