Individual provider Active NPI

Anthony Andrew Piemontese Jr., PTA

  • Physical Therapy Assistant
  • Vero Beach, FL
National Provider Identifier
1558787754
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA22843 Issued in FL
Practice address
294 25TH St SE
Vero Beach, FL 32962-8232
Phone
(772) 475-3721
NPI assigned
Mar 12, 2014
Last updated
Jan 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X AT10217 CA
Physical Therapy Assistant 225200000X PTA22843 FL Primary

Addresses

Primary practice location

294 25TH St SE
Vero Beach, FL 32962-8232

Mailing address

20237 Silktassel Rd
Riverside, CA 92508-3025
Phone (772) 475-3721

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
AT10217CAMDPhysical Therapy Assistant
PTA22843FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1558787754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20237 SILKTASSEL RD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925083025",
            "telephone_number": "772-475-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 25TH ST SE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329628232",
            "telephone_number": "772-475-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEMONTESE",
        "first_name": "ANTHONY",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-12",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT10217",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA22843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.