Renato Paul Bartra, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

29655 Issued in FL

Practice address

1418 S Powerline Rd
Pompano Beach, FL 33069-4300

Phone

(954) 975-0771

NPI assigned

Feb 26, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1073379327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 N LAUDERDALE AVE APT 4218",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330684222",
            "telephone_number": "954-547-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 S POWERLINE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694300",
            "telephone_number": "954-975-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTRA",
        "first_name": "RENATO",
        "middle_name": "PAUL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "29655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Barrientos, M.A.
• Lynsey Barrier
• Irina Barrios, DC
• Trinita Barry-Austin
• Michelle Bartley
• Elayne Barzaga
• Crystal Dawnn Bassingthwaite
• Miriam Basulto Behar, APRN
• Henry Battagliola, DC
• Brett Bauer

• Physical Therapy Assistant in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.