Patrice Mirvil

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA28814 Issued in FL

Practice address

1116 Rotonda Cir
Rotonda West, FL 33947-2127

Phone

(682) 225-5561

Fax

(941) 460-4494

NPI assigned

Sep 18, 2025

Last updated

Sep 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1417829763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 ROTONDA CIR",
            "city": "ROTONDA WEST",
            "state": "FL",
            "postal_code": "339472127",
            "telephone_number": "682-225-5561",
            "fax_number": "941-460-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 ROTONDA CIR",
            "city": "ROTONDA WEST",
            "state": "FL",
            "postal_code": "339472127",
            "telephone_number": "682-225-5561",
            "fax_number": "941-460-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRVIL",
        "first_name": "PATRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA28814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Rotonda West, FL
• Providers in Rotonda West, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.