Individual provider Active NPI

Anthony Lee Cere, PT, DPT, MTC

  • Physical Therapist
  • Gainesville, FL
National Provider Identifier
1366514390
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19159 Issued in FL
Practice address
3951 NW 48TH Ter
Suite 111
Gainesville, FL 32606-7228
Phone
(352) 246-5958
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT19159 FL Primary

Addresses

Primary practice location

3951 NW 48TH Ter
Suite 111
Gainesville, FL 32606-7228

Mailing address

9750 SW 98TH Ave
Gainesville, FL 32608-6062
Phone (352) 246-5958

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070425000138 FL Practitioner - Physical Therapist in Private Practice 0446355184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinetix Physical Therapy P aGroup PAC ID 5092810739, 10 clinicians

Practice addresses (Care Compare)

13559 NW 1St LN
Newberry, FL 32669-3473
Phone (352) 505-6665

2783 SW 87TH Dr
Suite 102
Gainesville, FL 32608-9370
Phone (352) 505-6665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetix Physical Therapy P a Physical Therapist CurrentSince Feb 12, 2007 Accepting new patients

Locations

2839 SW 87th Dr
Ste 10
Gainesville, FL 32608
Phone (352) 505-6665

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366514390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 SW 98TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326086062",
            "telephone_number": "352-246-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 NW 48TH TER",
            "address_2": "SUITE 111",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067228",
            "telephone_number": "352-246-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERE",
        "first_name": "ANTHONY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MTC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.