Active NPI
James T Rotella, D.P.M.
- Podiatrist
- Eustis, FL
National Provider Identifier
1417048919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO1193
- Practice address
- 629 S Grove St
Eustis, FL 32726-4822 - Phone
- (352) 589-1335
- Fax
- (352) 589-1336
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO1193 | FL | Primary |
Addresses
Primary practice location
629 S Grove St
Eustis, FL 32726-4822
Mailing address
629 S Grove St
Eustis, FL 32726-4822
Phone (352) 589-1335
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198627200000",
"number": "1417048919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 S GROVE ST",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327264822",
"telephone_number": "352-589-1335",
"fax_number": "352-589-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 S GROVE ST",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327264822",
"telephone_number": "352-589-1335",
"fax_number": "352-589-1336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTELLA",
"first_name": "JAMES",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO1193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.