Organization
NATIONAL PHYSIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BLACK (AUTHORIZED OFFICIAL)
(305) 606-6489
Entity
Organization
Contact information
Practice address
2201 BAY AVE, OCEAN CITY, NJ 08226-2568
(305) 775-1076
(305) 357-7391
Mailing address
PO BOX 872, AGOURA HILLS, CA 91376-0872
(305) 775-1076
(305) 357-7391
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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