Individual provider Active NPI

Patricia Ann Vennett, PT

  • Physical Therapist
  • Lake Worth, FL
National Provider Identifier
1043360001
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT860 Issued in FL
Practice address
130 John F Kennedy Dr
Suite 132
Lake Worth, FL 33462-1141
Phone
(561) 969-6125
Fax
(561) 964-5301
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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 PT860 FL Primary

Addresses

Primary practice location

130 John F Kennedy Dr
Suite 132
Lake Worth, FL 33462-1141

Mailing address

8462 Egret Meadow LN
West Palm Beach, FL 33412-1556
Phone (561) 776-6275

Other identifiers 1

IdentifierTypeStateIssuer
Y913MOtherFLBCBS OF FL PROVIDER #

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1043360001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8462 EGRET MEADOW LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121556",
            "telephone_number": "561-776-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JOHN F KENNEDY DR",
            "address_2": "SUITE 132",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334621141",
            "telephone_number": "561-969-6125",
            "fax_number": "561-964-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENNETT",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL PROVIDER #",
            "identifier": "Y913M",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.