Individual provider Active NPI

Timothy William Bantle, RRT

  • Home Health Registered Respiratory Therapist
  • Gainesville, FL
National Provider Identifier
1467748962
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered Respiratory TherapistTaxonomy code 2279H0200X
License
RT 8455 Issued in FL
Practice address
10000 SW 52ND Ave Apt M71
Gainesville, FL 32608-8300
Phone
(352) 575-4305
NPI assigned
Jun 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Respiratory Therapist 2279H0200X RT 8455 FL Primary

Addresses

Primary practice location

10000 SW 52ND Ave Apt M71
Gainesville, FL 32608-8300

Mailing address

10000 SW 52ND Ave Apt M71
Gainesville, FL 32608-8300
Phone (352) 575-4305

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

LicenseStateTypeSpecialty
RT 8455FLMDHome Health Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1467748962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SW 52ND AVE APT M71",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088300",
            "telephone_number": "352-575-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SW 52ND AVE APT M71",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088300",
            "telephone_number": "352-575-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANTLE",
        "first_name": "TIMOTHY",
        "middle_name": "WILLIAM",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": "FL",
            "license": "RT 8455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.