Active NPI
Patrice S Antony, PT, GCS
- Physical Therapist
- Maitland, FL
National Provider Identifier
1104966118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3075
- Practice address
- 1219 Sidcup Rd
Maitland, FL 32751-3523 - Phone
- (407) 951-5266
- Fax
- (407) 898-9098
- NPI assigned
- Feb 7, 2007
- Last updated
- Mar 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | PT3075 | FL | Primary |
Addresses
Primary practice location
1219 Sidcup Rd
Maitland, FL 32751-3523
Mailing address
1219 Sidcup Rd
Maitland, FL 32751-3523
Phone (407) 951-5266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3075 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552348800000",
"number": "1104966118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 SIDCUP RD",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327513523",
"telephone_number": "407-951-5266",
"fax_number": "407-898-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 SIDCUP RD",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327513523",
"telephone_number": "407-951-5266",
"fax_number": "407-898-9098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONY",
"first_name": "PATRICE",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "PT, GCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2019-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT3075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.