Individual provider Active NPI

Nicola Paolucci, PTA, LMT, CLT.LANA

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1528253457
Registry record updated Jan 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTA 20804 Issued in FL
Practice address
311 Golf Rd
Flagler Institute
West Palm Beach, FL 33407-5501
Phone
(561) 833-1747
NPI assigned
Sep 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTA 20804 FL Primary

Addresses

Primary practice location

311 Golf Rd
Flagler Institute
West Palm Beach, FL 33407-5501

Mailing address

328 Avila Rd
West Palm Beach, FL 33405-1661
Phone (561) 659-5595

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
PTA 20804FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295136000000",
    "number": "1528253457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 AVILA RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334051661",
            "telephone_number": "561-659-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 GOLF RD",
            "address_2": "FLAGLER INSTITUTE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075501",
            "telephone_number": "561-833-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLUCCI",
        "first_name": "NICOLA",
        "name_prefix": "Mr.",
        "credential": "PTA, LMT, CLT.LANA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2011-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTA 20804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.