Theodore Joseph Piano, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO3080 Issued in FL

Practice address

4142 Hanging Moss CT
Jacksonville, FL 32257-7658

Phone

(904) 292-0665

Fax

(904) 292-0665

NPI assigned

Jul 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mobile Health Inc.

  • Podiatrist
  • St Petersburg, FL
  • NPI 1801841887
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306871827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4142 HANGING MOSS CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322577658",
            "telephone_number": "904-292-0665",
            "fax_number": "904-292-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 HANGING MOSS CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322577658",
            "telephone_number": "904-292-0665",
            "fax_number": "904-292-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIANO",
        "first_name": "THEODORE",
        "middle_name": "JOSEPH",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE NUMBER",
            "identifier": "P03080",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physicians Resource Network of Jacksonville, Inc. (Physicians Resource Network)
• Physicians United LLC
• Physiopower, LLC
• Physt
• Phyzmed (PhyzMed Rehab)
• Joshua Piasecki, DO
• Pic Homes, Inc.
• Alexandria Picano, PHARMD
• Patrick Picard
• Cristin M Picciano, LCSW

• Podiatrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.