Active NPI
Robert Alan Mazor
- Physical Therapist
- Sarasota, FL
National Provider Identifier
1124347190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 24233
- Practice address
- 2750 Bahia Vista St
Suite 100
Sarasota, FL 34239-2600 - Phone
- (941) 951-2663
- Fax
- (941) 957-4437
- NPI assigned
- May 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 24233 | FL | Primary |
Addresses
Primary practice location
2750 Bahia Vista St
Suite 100
Sarasota, FL 34239-2600
Mailing address
2750 Bahia Vista St Ste 100
Sarasota, FL 34239-2640
Phone (941) 951-2663
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 24233 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1124347190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 BAHIA VISTA ST STE 100",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392640",
"telephone_number": "941-951-2663",
"fax_number": "941-957-4437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 BAHIA VISTA ST",
"address_2": "SUITE 100",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392600",
"telephone_number": "941-951-2663",
"fax_number": "941-957-4437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZOR",
"first_name": "ROBERT",
"middle_name": "ALAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-28",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 24233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.