Virna Liza Javelosa Barte, PT
Individual provider Active NPI Physical Therapist · Hudson, FL
NPI 1437299757 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1437299757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT12409 (FL)
- Practice address
- 14000 Fivay Rd
Hudson, FL 34667-7103 - Phone
- (727) 869-5432
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT12409 | FL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT12409 | FL | Yes |
Addresses
Primary practice location
14000 Fivay Rd
Hudson, FL 34667-7103
Mailing address
13163 Enchantment Dr
Brooksville, FL 34609-1554
Phone (352) 684-7320
Other providers in Hudson, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.