Effective Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19662 Issued in FL

Legal business name

EFFECTIVE PHYSICAL THERAPY INC

Practice address

4887 Lehto LN
Lake Worth, FL 33461-5338

Phone

(561) 439-8182

Fax

(561) 968-6692

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Fernando Miranda, P.T.NPI 1861531956

Title

President

Phone

(561) 317-1872

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Seminole Tribe of Florida Health Department

  • Primary Care Clinic/Center
  • Okeechobee, FL
  • NPI 1750610325

  O20101130000352

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fernando Miranda, RPT

  • Physical Therapist
  • Lake Worth, FL
  • NPI 1861531956
  Medicare reassignment Care Compare group NPD Authorized official
• Jon Jean Pierre Bissonnette, PT

  • Physical Therapist
  • Weston, FL
  • NPI 1598717548
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1063630218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4887 LEHTO LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334615338",
            "telephone_number": "561-439-8182",
            "fax_number": "561-968-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4887 LEHTO LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334615338",
            "telephone_number": "561-439-8182",
            "fax_number": "561-968-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFECTIVE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-317-1872",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milene Edmond
• Sanon Edmond
• Eduardo Jusino MD LLC
• Melvin Edwards Chacon
• Timothy Ray Edwards, PH.D.
• Lucrecia Eichmann
• Eisenman & Eisenman,M.D.,LLC
• Jesse H. Eisenman, MD
• Richard E. Eisenman, MD
• Penelope Sue Elam, MAPT, CLT

• Physical Therapist in Lake Worth, FL
• Providers in Lake Worth, 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 10, 2007; 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.