Mirta Batista Tatum Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0004025 Issued in FL

Legal business name

MIRTA BATISTA TATUM INC

Practice address

4767 SW 195TH Ter
Miramar, FL 33029-6209

Phone

(754) 246-0625

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Mirta Batista Tatum, RPT

Title

Physical Therapist

Phone

(754) 246-0625

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1336573039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4767 SW 195TH TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330296209",
            "telephone_number": "754-246-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4767 SW 195TH TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330296209",
            "telephone_number": "754-246-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRTA BATISTA TATUM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "MIRTA",
        "authorized_official_middle_name": "BATISTA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "754-246-0625",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "0004025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Miramar, FL
• Providers in Miramar, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.