Individual provider Active NPI

Jacques Noziere

  • Physical Therapy Assistant
  • Margate, FL
National Provider Identifier
1215474259
Registry record updated Jan 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA27391 Issued in FL
Practice address
4947 SW 4TH St
Margate, FL 33068-3103
Phone
(754) 368-8707
NPI assigned
Jan 29, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2017

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 PTA27391 FL Primary

Addresses

Primary practice location

4947 SW 4TH St
Margate, FL 33068-3103

Mailing address

4947 SW 4TH St
Margate, FL 33068-3103
Phone (754) 368-8707

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
PTA27391FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1485648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485648000000",
    "number": "1215474259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4947 SW 4TH ST",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330683103",
            "telephone_number": "754-368-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4947 SW 4TH ST",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330683103",
            "telephone_number": "754-368-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOZIERE",
        "first_name": "JACQUES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-29",
        "last_updated": "2017-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA27391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2017; 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.