NPIMap

Organization Active NPI

Advanced Total Therapy, Inc

  • Physical Therapist
  • Belle Glade, FL
National Provider Identifier
1073837522
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20447 Issued in FL
Legal business name
ADVANCED TOTAL THERAPY, INC
Practice address
1100 N Main St Ste B
Belle Glade, FL 33430-1973
Phone
(561) 993-3301
Fax
(561) 993-3304
NPI assigned
Mar 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Mrs. Carmencita Walls, PT
Title
President
Phone
(561) 340-9936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT20447 FL Primary

Addresses

Primary practice location

1100 N Main St Ste B
Belle Glade, FL 33430-1973

Mailing address

1100 N Main St Ste B
Belle Glade, FL 33430-1973
Phone (561) 993-3301

Other names 1

  • advanced total therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100805000824 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7719010115 Receives reassigned benefits from 1 practitioner
Practice locations: Belle Glade, FL

National Provider Directory

National Provider Directory

Locations

1100 N Main St
Ste B
Belle Glade, FL 33430
Phone (561) 993-3301

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1073837522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N MAIN ST STE B",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334301973",
            "telephone_number": "561-993-3301",
            "fax_number": "561-993-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N MAIN ST STE B",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334301973",
            "telephone_number": "561-993-3301",
            "fax_number": "561-993-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED TOTAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "CARMENCITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-340-9936",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "advanced total therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 19, 2010; 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.