Mario Anzalone, DPT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26322 Issued in FL

Legal business name

MARIO ANZALONE, DPT LLC

Practice address

4212 Commercial Way
Spring Hill, FL 34606-2325

Phone

(352) 684-6424

Fax

(352) 684-6423

NPI assigned

Jul 6, 2011

Last updated

Jul 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mario Anzalone, DPTNPI 1629368642

Title

Owner

Phone

(352) 684-6424

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mario Anzalone, DPT

  • Physical Therapist
  • Spring Hill, FL
  • NPI 1629368642
  Medicare reassignment NPD Authorized official
• Alex Daniel Koshefsky

  • Physical Therapy Assistant
  • Spring Hill, FL
  • NPI 1114329315
  NPD (past)

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1033406590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4377 COMMERCIAL WAY",
            "address_2": "PMB 111",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061963",
            "telephone_number": "352-684-6424",
            "fax_number": "352-684-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 COMMERCIAL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346062325",
            "telephone_number": "352-684-6424",
            "fax_number": "352-684-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO ANZALONE, DPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "ANZALONE",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-684-6424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariner 2 (Mariner Palms II)
• Mariner Alf 1 (Mariner Palms 1)
• Mariner Palms Assisted Living Facility
• Mariner Primecare Medical Center LLC
• Mariner Primecare Medical Center, LLC (veriMED Health Group Mariner)
• Mariscos Y Sushi Tomateros
• Nicole Marie Marlow
• Aurelia Del Mundo Martens, LMT
• Kassandra Martin
• Nicole Denae Martin, RN

• Physical Therapist in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.