Active NPI
Frank Disesso Jr., PTA
- Physical Therapy Assistant
- Palm Beach Gardens, FL
National Provider Identifier
1558927475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 18235
- Practice address
- 100 Discovery Way
Palm Beach Gardens, FL 33418-8010 - Phone
- (561) 800-0070
- NPI assigned
- May 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 18235 | FL | Primary |
Addresses
Primary practice location
100 Discovery Way
Palm Beach Gardens, FL 33418-8010
Mailing address
10771 Wharton Way
Palm Beach Gardens, FL 33412-1113
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 |
|---|---|---|---|
| 18235 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1558927475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10771 WHARTON WAY",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334121113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DISCOVERY WAY",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334188010",
"telephone_number": "561-800-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISESSO",
"first_name": "FRANK",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-16",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "18235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
- Melvyn Ivan Dinner, MD
- Laura Murphy Dinolfo, RD, LDN
- Kimberly Ann Dion, APRN
- Camila Dioses, MSW, LCSW
- Luis Carlos Discua
- Soyineie Shanique Dixon
- Samantha Dobson
- Doctors Outpatient Surgery Center of Jupiter, LLC (Laser & Surgery Center of the Palm Beaches)
- William Seth Doerr
- Julia Doherty, M.A., BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.