Active NPI
Patrizio M Stanziano, MPT
- Physical Therapist
- Boca Raton, FL
National Provider Identifier
1447461652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-23233
- Practice address
- 5901 Broken Sound Pkwy NW
Suite 500
Boca Raton, FL 33487-2773 - Phone
- (561) 875-8999
- NPI assigned
- May 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 028677 | NY | |
| Physical Therapist | 225100000X | J1-0002162 | DE | |
| Physical Therapist | 225100000X | PT-23233 | FL | Primary |
Addresses
Primary practice location
5901 Broken Sound Pkwy NW
Suite 500
Boca Raton, FL 33487-2773
Mailing address
26 Eleanordale Cir.
St. Catharines, ONTARIO L2M6X2
CA
Phone (905) 934-1122
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0002162 | DE | MD | Physical Therapist |
| PT-23233 | FL | MD | Physical Therapist |
| 028677 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447461652",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "26 ELEANORDALE CIR.",
"city": "ST. CATHARINES",
"state": "ONTARIO",
"postal_code": "L2M6X2",
"telephone_number": "905-934-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 BROKEN SOUND PKWY NW",
"address_2": "SUITE 500",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872773",
"telephone_number": "561-875-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANZIANO",
"first_name": "PATRIZIO",
"middle_name": "M",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "028677",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0002162",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT-23233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.