Angela Muncie, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT18929 Issued in FL

Practice address

6121 36TH LN E
Bradenton, FL 34203-5421

Phone

(941) 447-5368

NPI assigned

Jul 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1114579166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 36TH LN E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342035421",
            "telephone_number": "941-447-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 36TH LN E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342035421",
            "telephone_number": "941-447-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNCIE",
        "first_name": "ANGELA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PureHeartPhysicalTherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "e-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6121 36th Ln E",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342035421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marylee Kathleen Mull
• Katrina Rayne Mullen, PA-C
• Mark Allen Mullen, RPH.
• Callie Renee Mulligan
• Jonathan Mullis, PT, DPT
• Vyata Mungur, MA, LMHC
• Dalguis Munoz Cedeno
• Kennen Munoz Munoz, PHARMD
• Milena Munoz Rodriguez, MD
• Nicole Munoz

• Physical Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.