Farese Physical Therapy Center, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0004310 Issued in FL

Legal business name

FARESE PHYSICAL THERAPY CENTER, INC.

Practice address

3641 Tyrone Blvd N
St Petersburg, FL 33710-1126

Phone

(727) 381-5272

Fax

(727) 381-7195

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia L Farese, PT

Title

Physical Therapist

Phone

(727) 381-5272

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Farese Physical Therapy Center, Inc

  • Physical Therapy Clinic/Center
  • St Petersburg, FL
  • NPI 1710945704

  O20031118000185

  Same enrollment
• Farese Physical Therapy, Inc

  • Physical Therapist
  • Largo, FL
  • NPI 1912115825

  O20031118000185

  Same enrollment

Locations

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1194932426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 TYRONE BLVD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101126",
            "telephone_number": "727-381-5272",
            "fax_number": "727-381-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 TYRONE BLVD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101126",
            "telephone_number": "727-381-5272",
            "fax_number": "727-381-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARESE PHYSICAL THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "FARESE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "727-381-5272",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0004310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "881403100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miguel Antonio Fana Jr., M.D.
• Jill M Fandrich, PHARM D
• Carina Farag
• Abdeen Rihan Farah Musa, MBBS
• Farese Physical Therapy Center, Inc
• Patricia L Farese, PT
• Aghapy Farhan, MA, BCBA
• Farkas Chiropractic Clinic PA
• Brian Farkas, D.C.
• Frank Stephen Farkas, D.C.

• Physical Therapist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.