Organization Active NPI

South Venice Physical Therapy

  • Physical Therapist
  • Englewood, FL
National Provider Identifier
1477062776
Registry record updated Sep 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SOUTH VENICE PHYSICAL THERAPY
Practice address
1600 Englewood Rd
Englewood, FL 34223-1819
Phone
(941) 375-8734
Fax
(941) 375-8734
NPI assigned
Sep 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2017

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

Authorized official

Name
Mr. Kenneth I Tribit
Title
MGR
Phone
(941) 375-8734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1600 Englewood Rd
Englewood, FL 34223-1819

Mailing address

109 Laurel Rd E
Nokomis, FL 34275-5233

Other names 1

  • none Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506643200000",
    "number": "1477062776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LAUREL RD E",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342755233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ENGLEWOOD RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342231819",
            "telephone_number": "941-375-8734",
            "fax_number": "941-375-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VENICE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-09-29",
        "status": "A",
        "authorized_official_last_name": "TRIBIT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "941-375-8734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; 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.