NPIMap

Organization Active NPI

Request Physical Therapy Inc

  • Physical Therapist
  • Bradenton, FL
National Provider Identifier
1356440523
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20347 Issued in FL
Legal business name
REQUEST PHYSICAL THERAPY INC
Practice address
2722 Manatee Ave W
Suite 2
Bradenton, FL 34205-4945
Phone
(941) 744-9046
NPI assigned
Sep 22, 2006
Last updated
Jan 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Mr. John Walz, MPTNPI 1760581912
Title
Owner
Phone
(941) 744-9046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT20347 FL Primary

Addresses

Primary practice location

2722 Manatee Ave W
Suite 2
Bradenton, FL 34205-4945

Mailing address

2722 Manatee Ave W
Suite 2
Bradenton, FL 34205-4945
Phone (941) 744-9046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131204001554 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4688607567 Receives reassigned benefits from 10 practitioners
Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory
Tax ID family
Equest Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1922 53rd Ave E
#C
Bradenton, FL 34203
Phone (941) 744-9046

2601 Manatee Ave W
Bradenton, FL 34205
Phone (941) 744-9046

2722 Manatee Ave W
Ste 2
Bradenton, FL 34205
Phone (941) 708-3335

701 Manatee Ave W
Bradenton, FL 34205
Phone (617) 519-6443

7216 US Highway 301 N
Ste 122
Ellenton, FL 34222
Phone (941) 744-9046

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1356440523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 MANATEE AVE W",
            "address_2": "SUITE 2",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054945",
            "telephone_number": "941-744-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 MANATEE AVE W",
            "address_2": "SUITE 2",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054945",
            "telephone_number": "941-744-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REQUEST PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "WALZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-744-9046",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.