American Home Therapy Provider Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

686552 Issued in FL

Legal business name

AMERICAN HOME THERAPY PROVIDER INC.

Doing business as

charlotte physical therapy

Practice address

3380 Tamiami TRL Ste C
Port Charlotte, FL 33952-8156

Phone

(941) 766-1235

Fax

(941) 766-1644

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Grace L. Penano, RPT

Title

Coo/ Administrator

Phone

(941) 766-1235

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• charlotte physical therapy Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• American Home Therapy Provider, Inc.

  • Home Health Agency
  • Punta Gorda, FL
  • NPI 1972681724
  NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paulo Abrajano, PHYSICAL THERAPIST

  • Physical Therapist
  • Clewiston, FL
  • NPI 1821588369
  NPD (past)
• Gloria Angela Montesclaros, P.T.

  • Physical Therapist
  • Clewiston, FL
  • NPI 1750568861
  NPD (past)
• Edgar Comson Penano, P.T.

  • Physical Therapist
  • Fort Myers, FL
  • NPI 1124466685
  NPD (past)
• Gary Neil Viterbo Suarez, DPT, PT

  • Physical Therapist
  • Clewiston, FL
  • NPI 1427235522
  NPD (past)
• Kim Timonera

  • Physical Therapist
  • Clewiston, FL
  • NPI 1154730026
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1326126202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 TAMIAMI TRL STE C",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528156",
            "telephone_number": "941-766-1235",
            "fax_number": "941-766-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 TAMIAMI TRL STE C",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528156",
            "telephone_number": "941-766-1235",
            "fax_number": "941-766-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HOME THERAPY PROVIDER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "PENANO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "COO/ ADMINISTRATOR",
        "authorized_official_telephone_number": "941-766-1235",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "686552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "Q5D",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE PHYSICAL THERAPY",
            "identifier": "PT7217",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL PHYSICAL THERAPY LICEN",
            "identifier": "PT7840",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "charlotte physical therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luigi Amabile Jr., COTA
• Chioma C Amaechi, APRN
• Ambitrans Medical Transport , Inc.
• Ameditrans, Inc.
• American Diabetic Shoe Alliances, Inc
• American Imaging of Southwest Florida,Inc
• American Injury Centers of Port Charlotte Inc
• American Medic of Charlotte County PA
• American Telehealth Solutions
• James S Amontree, M.D.

• Rehabilitation Clinic/Center in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.