Active NPI
Alessandro D'Innocenzo
- Physical Therapist
- Jupiter, FL
National Provider Identifier
1013488063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT41953
- Practice address
- 935 Military TRL Ste 102
Jupiter, FL 33458-7009 - Phone
- (561) 748-5430
- NPI assigned
- Dec 16, 2018
- 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 | PT41953 | FL | Primary |
Addresses
Primary practice location
935 Military TRL Ste 102
Jupiter, FL 33458-7009
Mailing address
451 Oriole Cir
Jupiter, FL 33458-8359
Phone (561) 346-1990
Other practice location 1
451 Oriole Cir
Jupiter, FL 33458-8359
Phone (561) 346-1990
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 |
|---|---|---|---|
| PT41953 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Therapies, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Jupiter, FL
- NPI 1275641433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1013488063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 ORIOLE CIR",
"city": "JUPITER",
"state": "FL",
"postal_code": "334588359",
"telephone_number": "561-346-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 MILITARY TRL STE 102",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587009",
"telephone_number": "561-748-5430"
}
],
"practiceLocations": [
{
"address_1": "451 Oriole Cir",
"address_purpose": "LOCATION",
"city": "Jupiter",
"state": "FL",
"postal_code": "334588359",
"country_code": "US",
"telephone_number": "561-346-1990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "D'INNOCENZO",
"first_name": "ALESSANDRO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-16",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT41953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.