Active NPI
Amol Bakre
- Physical Therapist
- Belle Glade, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT31001
- Practice address
- 1100 S Main St # 103
Belle Glade, FL 33430-4910 - Phone
- (561) 762-6866
- Fax
- (561) 624-1192
- NPI assigned
- Jan 5, 2016
- Last updated
- Jan 5, 2016
- 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 | PT31001 | FL | Primary |
Addresses
Primary practice location
1100 S Main St # 103
Belle Glade, FL 33430-4910
Mailing address
1100 S Main St # 103
Belle Glade, FL 33430-4910
Phone (561) 762-6866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT31001 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Civista Medical Center, Inc. | Current | Accepting new patients | |
| Civista Medical Center Inc | Current | Accepting new patients |
Locations
1100 S Main St
Ste 103
Belle Glade, FL 33430
Phone (561) 996-7032
4971 Le Chalet Blvd
Ste 100
Boynton Beach, FL 33436
Phone (561) 733-5590
106 Ponce de Leon St
Royal Palm Beach, FL 33411
Phone (561) 236-3741
701 Charles St
La Plata, MD 20646
Phone (301) 609-4000
Organizations & group practices 3
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.
-
- Rural Acute Care Hospital
- La Plata, MD
- NPI 1992701825
-
- Physical Therapist
- Royal Palm Beach, FL
- NPI 1093956302
-
dba University of Maryland Charles Regional Medical Center
- Clinical Medical Laboratory
- La Plata, MD
- NPI 1801461926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1033575238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 S MAIN ST # 103",
"city": "BELLE GLADE",
"state": "FL",
"postal_code": "334304910",
"telephone_number": "561-762-6866",
"fax_number": "561-624-1192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S MAIN ST # 103",
"city": "BELLE GLADE",
"state": "FL",
"postal_code": "334304910",
"telephone_number": "561-762-6866",
"fax_number": "561-624-1192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKRE",
"first_name": "AMOL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-05",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT31001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belle Glade, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.