Organization Active NPI

Farese Physical Therapy Center of Largo, Inc.

  • Physical Therapist
  • Largo, FL
National Provider Identifier
1114182391
Registry record updated Jul 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8398 Issued in FL
Legal business name
FARESE PHYSICAL THERAPY CENTER OF LARGO, INC.
Practice address
1890 W Bay Dr
Suite W1
Largo, FL 33770-3019
Phone
(727) 584-6160
Fax
(727) 584-6745
NPI assigned
Jul 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2008

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

Authorized official

Name
Mr. John G Farese
Title
President
Phone
(727) 209-2763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 8398 FL Primary

Addresses

Primary practice location

1890 W Bay Dr
Suite W1
Largo, FL 33770-3019

Mailing address

1890 W Bay Dr
Suite W1
Largo, FL 33770-3019
Phone (727) 584-6160

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217116800000",
    "number": "1114182391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 W BAY DR",
            "address_2": "SUITE W1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703019",
            "telephone_number": "727-584-6160",
            "fax_number": "727-584-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 W BAY DR",
            "address_2": "SUITE W1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703019",
            "telephone_number": "727-584-6160",
            "fax_number": "727-584-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARESE PHYSICAL THERAPY CENTER OF LARGO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-27",
        "last_updated": "2008-07-27",
        "status": "A",
        "authorized_official_last_name": "FARESE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-209-2763",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "8398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2008; 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.