Maria Antonetti, LPTA13089
Individual provider Active NPI Physical Therapy Assistant · Crystal River, FL
NPI 1003050600 · NPPES record last updated Nov 15, 2019
Key facts
- NPI
- 1003050600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA13089 (FL)
- Practice address
- 394 N Suncoast Blvd Ste 40
Crystal River, FL 34429-5466 - Phone
- (352) 795-6225
- Fax
- (352) 795-6065
- NPI assigned
- Apr 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA13089 | FL | MD | Physical Therapy Assistant |
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC Rehab, LLC | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA13089 | FL | Yes |
Addresses
Primary practice location
394 N Suncoast Blvd Ste 40
Crystal River, FL 34429-5466
Mailing address
11242 Scenic Vista Dr
Clermont, FL 34711-8669
Phone (352) 247-5737
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106898 | Other | FL | MEDICARE ID |
Other names
- Mrs. Maria Antonetti
Other providers in Crystal River, FL
- Kamalesh A Amin
- Jeri Leigh Anderson
- Anesthesia Dynamics LLC
- Angela Acevedo MD PA
- Mohammad T Ansari
- Lauren Arnold
- Arthritis & Osteoporosis Clinics of Florida, Inc.
- Anthony Asaro
- Jami Austin
- B Jeffrey Wallis MD PA
All providers in Crystal River, FL · Physical Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.