Richard Anteau II

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA27990 Issued in FL

Practice address

2623 Country Side Dr
Fleming Island, FL 32003-4953

Phone

(320) 460-0929

NPI assigned

Jan 4, 2019

Last updated

Jun 28, 2019By the provider in NPPES

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": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1083187793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 COUNTRY SIDE DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 COUNTRY SIDE DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034953",
            "telephone_number": "320-460-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTEAU",
        "first_name": "RICHARD",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA27990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamari Anderson
• Stacie Lynn Anderson, LCSW
• Angela White Arnp PLLC
• Angela White Arnp PLLC
• Lucas Anissian, M.D.
• Arlene Aquino, APRN
• Carissa D Aquino, DPT
• Valentina Arismendy
• Hannah Arnold Arnold
• Art for Eyes

• Physical Therapy Assistant in Fleming Island, FL
• Providers in Fleming Island, 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 Jun 28, 2019; 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.