Active NPI
Cristina Brassil
- Physical Therapist
- Kenneth City, FL
National Provider Identifier
1457504284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6129
- Practice address
- 4356 66TH St N
Kenneth City, FL 33709-4920 - Phone
- (727) 546-4700
- NPI assigned
- Oct 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6129 | FL | Primary |
Addresses
Primary practice location
4356 66TH St N
Kenneth City, FL 33709-4920
Mailing address
4356 66TH St N
Kenneth City, FL 33709-4920
Phone (727) 546-4700
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12564 | CO | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| PT6129 | FL | MD | Physical Therapist |
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports and Orthopedic Rehabilitation Services Inc | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Riverview, FL
- NPI 1841981073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224806400000",
"number": "1457504284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4356 66TH ST N",
"city": "KENNETH CITY",
"state": "FL",
"postal_code": "337094920",
"telephone_number": "727-546-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4356 66TH ST N",
"city": "KENNETH CITY",
"state": "FL",
"postal_code": "337094920",
"telephone_number": "727-546-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASSIL",
"first_name": "CRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-24",
"last_updated": "2008-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT6129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenneth City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.