Alen Islamovic

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA24842 Issued in FL

Practice address

9745 Touchton Rd Unit 225
Jacksonville, FL 32246-4489

Phone

(904) 236-0788

NPI assigned

Jun 18, 2019

Last updated

Jun 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1427618826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9745 TOUCHTON RD UNIT 225",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464489",
            "telephone_number": "904-236-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9745 TOUCHTON RD UNIT 225",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464489",
            "telephone_number": "904-236-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAMOVIC",
        "first_name": "ALEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA24842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumit Isharwal, MD
• Yudai Ishiyama, MD
• Leah Letitia Ishmael, DO
• Ishmeal Major MD LLC
• Isabel Chavely Isla Venzant
• Amber Lynn Isley, M.D.
• Islf Deerwood Place Jacksonville, LLC (Deerwood Place)
• Islf-Deerwood Place-Jacksonville LLC (Regents Park of Jacksonville)
• Islimlipo
• Shahin Hamid Ismail, SAA

• Physical Therapy Assistant in Jacksonville, FL
• Providers in Jacksonville, 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 Jun 18, 2019; 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.