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General NPI Number Information
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NPI Number | 1477220861
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Entity Type | Organization
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Legal Business Name | ORIGIN PHYSICAL THERAPY FL PLLC
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 12411 HYMEADOW DRIVE BUILDING 3 SUITE 3B
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City | AUSTIN
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State | TX
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Zip | 78750-1874
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Country | US
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Telephone | 512-335-9300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 104341
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City | PASADENA
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State | CA
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Zip | 91189-3230
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Country | US
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Telephone | 310-479-2323
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH CATHERINE CLAMPETT
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Credential | PT, DPT
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Telephone | 214-536-5401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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