Individual provider Active NPI

Vasilios Constantis, PTA

  • Physical Therapy Assistant
  • Aventura, FL
National Provider Identifier
1184800609
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA17141 Issued in FL
Practice address
20601 E Dixie Hwy
Aventura, FL 33180-1540
Phone
(786) 923-5000
Fax
(786) 923-5001
NPI assigned
Jan 15, 2008
Last updated
Jan 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA17141 FL Primary

Addresses

Primary practice location

20601 E Dixie Hwy
Aventura, FL 33180-1540

Mailing address

20601 E Dixie Hwy
Aventura, FL 33180-1540
Phone (786) 923-5000

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA17141FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1184800609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20601 E DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801540",
            "telephone_number": "786-923-5000",
            "fax_number": "786-923-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20601 E DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801540",
            "telephone_number": "786-923-5000",
            "fax_number": "786-923-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTIS",
        "first_name": "VASILIOS",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA17141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.

Verify at the official NPI Registry.