Organization Active NPI

Plenitude in-Home Physical Therapy

  • Physical Therapist
  • Weston, FL
National Provider Identifier
1154720530
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7749 Issued in FL
Legal business name
PLENITUDE IN-HOME PHYSICAL THERAPY
Practice address
4203 Vineyard Cir
Weston, FL 33332-2152
Phone
(954) 440-9767
Fax
(954) 653-4180
NPI assigned
Aug 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Ms. Clara E. Velosa, PT
Title
PT/Vice 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

4203 Vineyard Cir
Weston, FL 33332-2152

Mailing address

4203 Vineyard Cir
Weston, FL 33332-2152
Phone (954) 440-9767

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1154720530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 VINEYARD CIR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333322152",
            "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": "4203 VINEYARD CIR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333322152",
            "telephone_number": "954-440-9767",
            "fax_number": "954-653-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLENITUDE IN-HOME PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "VELOSA",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PT/VICE PRESIDENT",
        "authorized_official_telephone_number": "954-440-9767",
        "authorized_official_name_prefix": "Ms.",
        "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 Aug 21, 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.