Active NPI
Maria Teresa Provido Presbitero, R.P.T.
- Physical Therapist
- Pinellas Park, FL
National Provider Identifier
1093889446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10934
- Practice address
- 10707 66TH St N Ste 14
Pinellas Park, FL 33782-2336 - Phone
- (727) 547-8600
- Fax
- (727) 548-6131
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT10934 | FL | Primary |
Addresses
Primary practice location
10707 66TH St N Ste 14
Pinellas Park, FL 33782-2336
Mailing address
PO Box 236
Pinellas Park, FL 33780-0236
Phone (727) 804-2103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10707 66TH St N
Suite 14
Pinellas Park, FL 33782-2336
Phone (727) 547-8600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Pinellas Park, FL
- NPI 1588755086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1093889446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 236",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337800236",
"telephone_number": "727-804-2103",
"fax_number": "727-545-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10707 66TH ST N STE 14",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337822336",
"telephone_number": "727-547-8600",
"fax_number": "727-548-6131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESBITERO",
"first_name": "MARIA TERESA",
"middle_name": "PROVIDO",
"credential": "R.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT10934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.