Organization Active NPI

Antonina's TLC, Inc.

  • Physical Therapist
  • Sunny Isles Beach, FL
National Provider Identifier
1124097746
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16602 Issued in FL
Legal business name
ANTONINA'S TLC, INC.
Practice address
301 174TH St
1903
Sunny Isles Beach, FL 33160-3206
Phone
(305) 915-7375
Fax
(305) 705-9366
NPI assigned
Mar 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Antonina Brichok, P.T.NPI 1578532180
Title
President
Phone
(305) 705-9366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 16602 FL Primary

Addresses

Primary practice location

301 174TH St
1903
Sunny Isles Beach, FL 33160-3206

Mailing address

301 174TH St
1903
Sunny Isles Beach, FL 33160-3206
Phone (305) 705-9366

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124097746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 174TH ST",
            "address_2": "1903",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603206",
            "telephone_number": "305-705-9366",
            "fax_number": "305-705-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 174TH ST",
            "address_2": "1903",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603206",
            "telephone_number": "305-915-7375",
            "fax_number": "305-705-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONINA'S TLC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRICHOK",
        "authorized_official_first_name": "ANTONINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-705-9366",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "16602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.