Philip Christian Violetta, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT39903 Issued in FL

Practice address

801 N Orange Ave Ste 610
Orlando, FL 32801-5202

Phone

(407) 236-7155

Fax

(407) 236-7441

NPI assigned

Feb 6, 2023

Last updated

Dec 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hernando Healthcare Associates PA

  • Chiropractor
  • Spring Hill, FL
  • NPI 1477753895
  Medicare reassignment NPD

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1518663087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 2ND AVE STE 210",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301611718",
            "telephone_number": "407-236-7155",
            "fax_number": "407-236-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N ORANGE AVE STE 610",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328015202",
            "telephone_number": "407-236-7155",
            "fax_number": "407-236-7441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8466 Northcliffe Blvd",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346061140",
            "country_code": "US",
            "telephone_number": "135-266-6222",
            "fax_number": "352-683-7284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIOLETTA",
        "first_name": "PHILIP",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT39903",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vinette Scott (A Good Home Living Facility)
• Stephanie Brue Vinokur, D.M.D.
• Jennifer Vinson
• Rishelle Noelle Vinson, BCBA
• Vintage Psychiatric Care, LLC
• Vip Family HHC, LLC
• Vip Health Assistance LLC (Vip Walk in Clinic)
• Vip Health Assistance Metrowest LLC
• Vip Non Emergency Transportation, LLC
• Vipsych PLLC

• Physical Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.