Individual provider Active NPI

Adi Benitah Shimony, M.P.T.

  • Physical Therapist
  • Sunrise, FL
National Provider Identifier
1568417566
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17715 Issued in FL
Practice address
3540 N. Pine Island Road
Sunrise Medical Group
Sunrise, FL 33351
Phone
(954) 653-3625
Fax
(954) 653-3675
NPI assigned
May 24, 2006
Last updated
Oct 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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 PT17715 FL Primary

Addresses

Primary practice location

3540 N. Pine Island Road
Sunrise Medical Group
Sunrise, FL 33351

Mailing address

3540 N. Pine Island Road
Sunrise Medical Group
Sunrise, FL 33351
Phone (954) 653-3625

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Rehabilitation Corp. Physical Therapist PastSince Oct 1, 2004 Accepting new patients
Neurology Associates Group Past Accepting new patients

Organizations & group practices 2

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1568417566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 N. PINE ISLAND ROAD",
            "address_2": "SUNRISE MEDICAL GROUP",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33351",
            "telephone_number": "954-653-3625",
            "fax_number": "954-653-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 N. PINE ISLAND ROAD",
            "address_2": "SUNRISE MEDICAL GROUP",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33351",
            "telephone_number": "954-653-3625",
            "fax_number": "954-653-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMONY",
        "first_name": "ADI",
        "middle_name": "BENITAH",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT17715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

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