Individual provider Active NPI

Joann Marie Solis Thomas, PTA, LMT

  • Physical Therapy Assistant
  • Port Charlotte, FL
National Provider Identifier
1265681456
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA21381 Issued in FL
Practice address
3417 Tamiami TRL Ste a
Port Charlotte, FL 33952-8158
Phone
(941) 624-6222
Fax
(941) 624-6821
NPI assigned
Sep 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA21381 FL Primary
Massage Therapist 225700000X MA28457 FL

Addresses

Primary practice location

3417 Tamiami TRL Ste a
Port Charlotte, FL 33952-8158

Mailing address

12366 Corporal Cir
Port Charlotte, FL 33953-2259
Phone (941) 255-0957

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
PTA21381FLMDPhysical Therapy Assistant
MA28457FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1265681456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12366 CORPORAL CIR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339532259",
            "telephone_number": "941-255-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 TAMIAMI TRL STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528158",
            "telephone_number": "941-624-6222",
            "fax_number": "941-624-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS THOMAS",
        "first_name": "JOANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PTA, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA21381",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA28457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.