Active NPI
Antony Cruz
- Physical Therapist
- Largo, FL
National Provider Identifier
1235960592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40183
- Practice address
- 14280 Walsingham Rd
Largo, FL 33774-3231 - Phone
- (727) 596-2101
- NPI assigned
- Aug 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40183 | FL | Primary |
Addresses
Primary practice location
14280 Walsingham Rd
Largo, FL 33774-3231
Mailing address
3110 Grand Ave Apt 3308
Pinellas Park, FL 33782-6171
Phone (305) 764-5312
Other practice location 1
13777 Belcher Rd S
Largo, FL 33771-4096
Phone (727) 532-1900
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40183 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1235960592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 GRAND AVE APT 3308",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337826171",
"telephone_number": "305-764-5312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14280 WALSINGHAM RD",
"city": "LARGO",
"state": "FL",
"postal_code": "337743231",
"telephone_number": "727-596-2101"
}
],
"practiceLocations": [
{
"address_1": "13777 Belcher Rd S",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "FL",
"postal_code": "337714096",
"country_code": "US",
"telephone_number": "727-532-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ",
"first_name": "ANTONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "40183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.