Individual provider Active NPI

Robert M Anzilotti, PTA

  • Physical Therapy Assistant
  • Tarpon Springs, FL
National Provider Identifier
1356680888
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA010307 Issued in FL
Practice address
941 Westwinds Blvd
Tarpon Springs, FL 34689-1808
Phone
(727) 608-6033
NPI assigned
Feb 4, 2013
Last updated
Feb 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA010307 FL Primary

Addresses

Primary practice location

941 Westwinds Blvd
Tarpon Springs, FL 34689-1808

Mailing address

941 Westwinds Blvd
Tarpon Springs, FL 34689-1808
Phone (727) 608-6033

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
PTA010307FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1356680888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 WESTWINDS BLVD",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891808",
            "telephone_number": "727-608-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 WESTWINDS BLVD",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891808",
            "telephone_number": "727-608-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZILOTTI",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA010307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.