Active NPI
Prutha Jani
- Physical Therapist
- Fort Lauderdale, FL
National Provider Identifier
1548918428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 32018
- Practice address
- 4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603 - Phone
- (954) 492-5738
- NPI assigned
- Mar 10, 2022
- Sex
- Female
- 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 Therapist | 225100000X | 32018 | FL | Primary |
Addresses
Primary practice location
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Mailing address
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 492-5738
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mediTech | Direct |
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 |
|---|---|---|---|
| 32018 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1548918428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4725 N FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084603",
"telephone_number": "954-492-5738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 N FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084603",
"telephone_number": "954-492-5738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANI",
"first_name": "PRUTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-10",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "32018",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "mediTech",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4725 N Federal Hwy",
"city": "Fort Lauderdale",
"state": "FL",
"country_code": "US",
"postal_code": "333084603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.