Active NPI
Amy Lenore Delcollado, PTA
- Physical Therapy Assistant
- Largo, FL
National Provider Identifier
1386047926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA21281
- Practice address
- 8254 118TH Ave
Suite 100
Largo, FL 33773-5017 - Phone
- (727) 541-5304
- Fax
- (727) 546-8527
- NPI assigned
- Sep 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA21281 | FL | Primary |
Addresses
Primary practice location
8254 118TH Ave
Suite 100
Largo, FL 33773-5017
Mailing address
5209 Lawnwood Dr
Temple Terrace, FL 33617-4033
Phone (813) 695-3844
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA21281 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411689600000",
"number": "1386047926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5209 LAWNWOOD DR",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336174033",
"telephone_number": "813-695-3844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8254 118TH AVE",
"address_2": "SUITE 100",
"city": "LARGO",
"state": "FL",
"postal_code": "337735017",
"telephone_number": "727-541-5304",
"fax_number": "727-546-8527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELCOLLADO",
"first_name": "AMY",
"middle_name": "LENORE",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-26",
"last_updated": "2014-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA21281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
- Dedicated Senior Medical Center of Florida, LLC
- Dedicated Senior Medical Centers of Florida, LLC (Dedicated Senior Medical Center West Largo)
- James E Defoe, MD P A
- Laurel Ann Deininger, RDN, LDN
- Ellen M Delaney
- Brian J. Delisle, DDS, DDS
- Paul James Delossantos
- Whitney Lapolla Delozier, MD
- Michael Gary Demner, DPM
- Bryce Demoret, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.