Individual provider Active NPI

Anthony Joseph Maulorico, PHYSICAL THERAPIST

  • Physical Therapist
  • Bayonet Point, FL
National Provider Identifier
1124047790
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 18181 Issued in FL
Practice address
7509 State Road 52
Summit Medical Center - Suite 130
Bayonet Point, FL 34667-6787
Phone
(727) 862-5939
Fax
(727) 862-7127
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT 18181 FL Primary

Addresses

Primary practice location

7509 State Road 52
Summit Medical Center - Suite 130
Bayonet Point, FL 34667-6787

Mailing address

10902 May Apple CT
Land O Lakes, FL 34638-7901
Phone (813) 996-0616

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

LicenseStateTypeSpecialty
PT 18181FLMDPhysical Therapist

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124047790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10902 MAY APPLE CT",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387901",
            "telephone_number": "813-996-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 STATE ROAD 52",
            "address_2": "SUMMIT MEDICAL CENTER - SUITE 130",
            "city": "BAYONET POINT",
            "state": "FL",
            "postal_code": "346676787",
            "telephone_number": "727-862-5939",
            "fax_number": "727-862-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULORICO",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 18181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonet Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.