Individual provider Active NPI

Maria Teresa Provido Presbitero, R.P.T.

  • Physical Therapist
  • Pinellas Park, FL
National Provider Identifier
1093889446
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10934 Issued in FL
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

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20070313000427 FL Practitioner - Physical Therapist in Private Practice 9931202975 Reassigns benefits to 1 organization

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
Vital Rehab Intervention IncGroup PAC ID 4486757424, 2 clinicians

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.

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.

Verify at the official NPI Registry.