Individual provider Active NPI

Linda P Princiotta, P.T.

  • Physical Therapist
  • Venice, FL
National Provider Identifier
1124230891
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 1834 Issued in ME
Practice address
1223 Jacaranda Blvd
Venice, FL 34292-4520
Phone
(941) 486-6420
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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 1834 ME Primary

Addresses

Primary practice location

1223 Jacaranda Blvd
Venice, FL 34292-4520

Mailing address

14 Second St
Farmingdale, ME 04344-2931
Phone (207) 582-9898

Other practice location 1

14 Second St
Farmingdale, ME 04344-2931
Phone (207) 582-9898

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 1834MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Physical Therapy Physical Therapist PastSince Feb 13, 2009 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1124230891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SECOND ST",
            "city": "FARMINGDALE",
            "state": "ME",
            "postal_code": "043442931",
            "telephone_number": "207-582-9898",
            "fax_number": "207-582-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 JACARANDA BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924520",
            "telephone_number": "941-486-6420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Second St",
            "address_purpose": "LOCATION",
            "city": "Farmingdale",
            "state": "ME",
            "postal_code": "043442931",
            "country_code": "US",
            "telephone_number": "207-582-9898",
            "fax_number": "207-582-9899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINCIOTTA",
        "first_name": "LINDA",
        "middle_name": "P",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT 1834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.