Individual provider Active NPI

Ana Flavia Freitas Souza Christian, PT

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1023501350
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33631 Issued in FL
Practice address
8983 Okeechobee Blvd Ste 208
West Palm Beach, FL 33411-5145
Phone
(561) 478-3702
NPI assigned
Jun 12, 2018
Last updated
Apr 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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 PT33631 FL Primary

Addresses

Primary practice location

8983 Okeechobee Blvd Ste 208
West Palm Beach, FL 33411-5145

Mailing address

8983 Okeechobee Blvd Ste 208
West Palm Beach, FL 33411-5145

Other identifiers 1

IdentifierTypeStateIssuer
74748477MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201208000489 FL Practitioner - Physical Therapist in Private Practice 7315359874 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saylor Physical Therapy West Palm Beach LLC CurrentSince Sep 5, 2020 Accepting new patients
Saylor Physical Therapy Physical Therapist CurrentSince May 9, 2021 Accepting new patients
United Thera Group LLC Physical Therapist CurrentSince Jul 19, 2022 Accepting new patients
Cora Health Services, Inc Past Accepting new patients
Cora Health Services Inc Past Accepting new patients

Locations

12008 South Shore Blvd
Ste 201
Wellington, FL 33414
Phone (561) 429-5127

2090 Palm Beach Lakes Blvd
Ste 900
West Palm Beach, FL 33409
Phone (561) 335-5965

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1023501350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8983 OKEECHOBEE BLVD STE 208",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334115145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8983 OKEECHOBEE BLVD STE 208",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334115145",
            "telephone_number": "561-478-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREITAS SOUZA CHRISTIAN",
        "first_name": "ANA",
        "middle_name": "FLAVIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74748477",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.