Active NPI
Nathan Edward Briganti
- Physical Therapy Assistant
- Washington, DC
National Provider Identifier
1477892354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA000058
- Practice address
- 4601 Martin Luther King Jr Ave SW
Southwest
Washington, DC 20032-1131 - Phone
- (202) 261-3585
- Fax
- (202) 318-8174
- NPI assigned
- Feb 12, 2013
- Sex
- Male
- 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 Therapy Assistant | 225200000X | PTA000058 | DC | Primary |
Addresses
Primary practice location
4601 Martin Luther King Jr Ave SW
Southwest
Washington, DC 20032-1131
Mailing address
92 Avondale Cir
Severna Park, MD 21146-3801
Phone (443) 805-1568
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 |
|---|---|---|---|
| PTA000058 | DC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360627200000",
"number": "1477892354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 AVONDALE CIR",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211463801",
"telephone_number": "443-805-1568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 MARTIN LUTHER KING JR AVE SW",
"address_2": "SOUTHWEST",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200321131",
"telephone_number": "202-261-3585",
"fax_number": "202-318-8174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGANTI",
"first_name": "NATHAN",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-12",
"last_updated": "2013-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "DC",
"license": "PTA000058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.