Organization Active NPI

Skyway Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Bradenton, FL
National Provider Identifier
1447816657
Registry record updated May 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SKYWAY PHYSICAL THERAPY LLC
Practice address
7750 Plantation Cir
Bradenton, FL 34201-2064
Phone
(912) 856-8118
NPI assigned
May 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2020

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

Authorized official

Name
Felipe Carbonell, DPTNPI 1669985701
Title
Ceo/ Physical Therapist
Phone
(912) 856-8118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7750 Plantation Cir
Bradenton, FL 34201-2064

Mailing address

105 Pompano Dr SE Apt D
St Petersburg, FL 33705-4076

Other names 1

  • SKYWAY PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590364800000",
    "number": "1447816657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 POMPANO DR SE APT D",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337054076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 PLANTATION CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342012064",
            "telephone_number": "912-856-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYWAY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A",
        "authorized_official_last_name": "CARBONELL",
        "authorized_official_first_name": "FELIPE",
        "authorized_official_title_or_position": "CEO/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "912-856-8118",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKYWAY PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SKYWAY PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; 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.