Healthcare Provider Details

I. General information

NPI: 1275991424
Provider Name (Legal Business Name): JAMES ORR PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2016
Last Update Date: 04/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5581 RAND BLVD
SARASOTA FL
34238
US

IV. Provider business mailing address

880 6TH STREET SOUTH
ST PETERSBURG FL
33701
US

V. Phone/Fax

Practice location:
  • Phone: 941-927-8805
  • Fax:
Mailing address:
  • Phone: 727-767-6757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ1-0003441
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT32445
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: