NPIMap

Organization Active NPI

Plenitude, Inc.

  • Physical Therapist
  • Weston, FL
National Provider Identifier
1154575736
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7749 Issued in FL
Legal business name
PLENITUDE, INC.
Practice address
1411 Saint Gabrielle LN
#35-02
Weston, FL 33326-4034
Phone
(954) 440-9767
Fax
(954) 653-4180
NPI assigned
Nov 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Authorized official

Name
Mrs. Clara E Velosa, PT
Title
President
Phone
(954) 440-9767

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW11119 FL
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT7749 FL Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT9152 FL
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA9152 FL

Addresses

Primary practice location

1411 Saint Gabrielle LN
#35-02
Weston, FL 33326-4034

Mailing address

1411 Saint Gabrielle LN
#35-02
Weston, FL 33326-4034
Phone (954) 440-9767

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1154575736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 SAINT GABRIELLE LN",
            "address_2": "#35-02",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333264034",
            "telephone_number": "954-440-9767",
            "fax_number": "954-653-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 SAINT GABRIELLE LN",
            "address_2": "#35-02",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333264034",
            "telephone_number": "954-440-9767",
            "fax_number": "954-653-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLENITUDE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "VELOSA",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-440-9767",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11119",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT7749",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT9152",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.