Active NPI
Elie Joseph
- Physical Therapy Assistant
- Saint Cloud, FL
National Provider Identifier
1467018440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA23831
- Practice address
- 1301 Kansas Ave
Saint Cloud, FL 34769-5921 - Phone
- (407) 891-5121
- NPI assigned
- May 14, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA23831 | FL | Primary |
Addresses
Primary practice location
1301 Kansas Ave
Saint Cloud, FL 34769-5921
Mailing address
1156 Roan CT
Kissimmee, FL 34759-7030
Phone (407) 953-5605
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 |
|---|---|---|---|
| PTA23831 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1467018440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1156 ROAN CT",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347597030",
"telephone_number": "407-953-5605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 KANSAS AVE",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347695921",
"telephone_number": "407-891-5121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "ELIE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-14",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA23831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.