Individual provider Active NPI

Patricia Trama

  • Pediatric Physical Therapist
  • Fleming Island, FL
National Provider Identifier
1548425374
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT3832 Issued in FL
Practice address
2245 Plantation Center Dr
Suite 57
Fleming Island, FL 32003-3352
Phone
(904) 374-1414
Fax
(877) 736-3470
NPI assigned
Jul 21, 2008
Last updated
Jun 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT3832 FL Primary

Addresses

Primary practice location

2245 Plantation Center Dr
Suite 57
Fleming Island, FL 32003-3352

Mailing address

2245 Plantation Center Dr
Suite 57
Fleming Island, FL 32003-3352
Phone (904) 374-1414

Other identifiers 1

IdentifierTypeStateIssuer
000232500MedicaidFL

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
PT3832FLMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sensational Kids Therapy, PLLC Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1548425374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 PLANTATION CENTER DR",
            "address_2": "SUITE 57",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033352",
            "telephone_number": "904-374-1414",
            "fax_number": "877-736-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 PLANTATION CENTER DR",
            "address_2": "SUITE 57",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033352",
            "telephone_number": "904-374-1414",
            "fax_number": "877-736-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAMA",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT3832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000232500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.