Individual provider Active NPI

Lionel S Pannunzio, PT

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1386760403
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20707 Issued in FL
Practice address
17601 NW 2ND Ave
Miami, FL 33169-5001
Phone
(615) 778-4066
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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 PT20707 FL Primary

Addresses

Primary practice location

17601 NW 2ND Ave
Miami, FL 33169-5001

Mailing address

720 Cool Springs Blvd
Suite 300
Franklin, TN 37067-2626
Phone (615) 778-4066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091117000645 FL Practitioner - Physical Therapist in Private Practice 7810035573 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W.H. Medical Management CorpGroup PAC ID 3072876903, 2 clinicians

Practice addresses (Care Compare)

3110 Commerce Pkwy
Miramar, FL 33025-3943
Phone (954) 430-4210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
WH Medical Management CurrentSince Dec 1, 2017 Accepting new patients
Palm Rehabilitation Center, Inc. Physical Therapist CurrentSince Jan 21, 2014 Accepting new patients
QMG, LLC CurrentSince Jul 23, 2020 Accepting new patients
Neurological Testing Centers of America Inc. PastSince Jan 21, 2014 Accepting new patients

Locations

20803 Biscayne Blvd
Ste 10
Aventura, FL 33180
Phone (786) 668-2525

2500 E Hallandale Beach Blvd
Ste 210
Hallandale Beach, FL 33009
Phone (954) 458-2202

9900 Stirling Rd
Ste 303
Hollywood, FL 33024
Phone (954) 432-8872

210 S Federal Hwy
Ste 403
Hollywood, FL 33020
Phone (954) 929-3449

3110 Commerce Pkwy
Miramar, FL 33025
Phone (954) 430-4210

3000 SW 148th Ave
Ste 200
Miramar, FL 33027
Phone (754) 320-4266

9050 Pines Blvd
Ste 170
Pembroke Pines, FL 33024
Phone (954) 431-7627

Organizations & group practices 4

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1386760403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 COOL SPRINGS BLVD",
            "address_2": "SUITE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672626",
            "telephone_number": "615-778-4066",
            "fax_number": "615-778-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17601 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695001",
            "telephone_number": "615-778-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNUNZIO",
        "first_name": "LIONEL",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.