Active NPI
Florante Jacinto, RPT
- Physical Therapist
- Plymouth, MI
National Provider Identifier
1154369544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501011643
- Practice address
- 906 S Main St
Suite 2
Plymouth, MI 48170-2093 - Phone
- (734) 455-4668
- Fax
- (734) 455-4668
- NPI assigned
- Jun 4, 2006
- Last updated
- Jun 17, 2008
- 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 | 5501011643 | MI | Primary |
Addresses
Primary practice location
906 S Main St
Suite 2
Plymouth, MI 48170-2093
Mailing address
13648 Canterbury Dr
Sterling Heights, MI 48312-3310
Phone (586) 202-2383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650H231180 | Other | MI | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 5501011643 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rafa Therapies Inc | Physical Therapist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1154369544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13648 CANTERBURY DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483123310",
"telephone_number": "586-202-2383",
"fax_number": "586-795-3863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 S MAIN ST",
"address_2": "SUITE 2",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481702093",
"telephone_number": "734-455-4668",
"fax_number": "734-455-4668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACINTO",
"first_name": "FLORANTE",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501011643",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "650H231180",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.