Organization Active NPI

Physioworks Inc

  • Physical Therapist
  • Venice, FL
National Provider Identifier
1528015047
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSIOWORKS INC
Practice address
836 Sunset Lake Blvd
Suite 201
Venice, FL 34292-7554
Phone
(941) 497-1737
Fax
(941) 497-7889
NPI assigned
May 29, 2006
Last updated
Jul 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Dr. Anthony Fus Jr., DPTNPI 1154484830
Title
President
Phone
(941) 497-1737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

836 Sunset Lake Blvd
Suite 201
Venice, FL 34292-7554

Mailing address

836 Sunset Lake Blvd
Suite 201
Venice, FL 34292-7554
Phone (941) 497-1737

Other identifiers 1

IdentifierTypeStateIssuer
R6DOtherFLBCBS FL PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060309000339 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 7012924418 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Venice, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528015047. Details of each certification follow.

  • CCN 106890 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 106890

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PHYSIOWORKS INC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Apr 3, 1995
Last certification
May 22, 2024
Ownership / control type
Proprietary
Facility address
836 Sunset Lake Blvd
Venice, FL 34292

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Physioworks Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

836 Sunset Lake Blvd
Ste 201
Venice, FL 34292
Phone (941) 497-1737

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1528015047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 SUNSET LAKE BLVD",
            "address_2": "SUITE 201",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342927554",
            "telephone_number": "941-497-1737",
            "fax_number": "941-497-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 SUNSET LAKE BLVD",
            "address_2": "SUITE 201",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342927554",
            "telephone_number": "941-497-1737",
            "fax_number": "941-497-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOWORKS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "FUS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-497-1737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL PROVIDER #",
            "identifier": "R6D",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.