Active NPI
Alejandro Pontino
- Physical Therapist
- Pompano Beach, FL
National Provider Identifier
1003456146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT11674
- Practice address
- 700 SW 4TH St
Pompano Beach, FL 33060-7678 - Phone
- (954) 247-5800
- NPI assigned
- Jan 7, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT11674 | FL | Primary |
Addresses
Primary practice location
700 SW 4TH St
Pompano Beach, FL 33060-7678
Mailing address
8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone (352) 382-1411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT11674 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1003456146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8477 S SUNCOAST BLVD",
"city": "HOMOSASSA",
"state": "FL",
"postal_code": "344465028",
"telephone_number": "352-382-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SW 4TH ST",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330607678",
"telephone_number": "954-247-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONTINO",
"first_name": "ALEJANDRO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-07",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT11674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.