Individual provider Active NPI

Alessandro D'Innocenzo

  • Physical Therapist
  • Jupiter, FL
National Provider Identifier
1013488063
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41953 Issued in FL
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

Updated by the provider on Aug 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT41953FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Therapies, Inc Physical Therapist PastSince Aug 18, 2024 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.

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.

Verify at the official NPI Registry.