Active NPI
Janis Lynn Verde
- Physical Therapist
- Pompano Beach, FL
National Provider Identifier
1194950923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT13611
- Practice address
- 2645 E Atlantic Blvd
Pompano Beach, FL 33062-4939 - Phone
- (305) 876-9004
- NPI assigned
- May 22, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT13611 | FL | Primary |
| Orthopedic Physical Therapist | 2251X0800X | PT13611 | FL |
Addresses
Primary practice location
2645 E Atlantic Blvd
Pompano Beach, FL 33062-4939
Mailing address
PO Box 551330
Ft Lauderdale, FL 33355-1330
Phone (305) 876-9004
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT13611 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 3MD Associates Inc, | Orthopedic | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242950400000",
"number": "1194950923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551330",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333551330",
"telephone_number": "305-876-9004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 E ATLANTIC BLVD",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330624939",
"telephone_number": "305-876-9004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERDE",
"first_name": "JANIS",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-22",
"last_updated": "2009-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT13611",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT13611",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.