Active NPI
Antony Jose
- Physical Therapist
- Fort Lauderdale, FL
National Provider Identifier
1578078747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.023404
- Practice address
- 1000 Corporate Dr Ste 280
Fort Lauderdale, FL 33334-3628 - Phone
- (954) 210-8008
- NPI assigned
- Dec 8, 2017
- 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 Therapist | 225100000X | 070.023404 | IL | Primary |
Addresses
Primary practice location
1000 Corporate Dr Ste 280
Fort Lauderdale, FL 33334-3628
Mailing address
2140 W Van Buren St Apt 2
Chicago, IL 60612-4821
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 |
|---|---|---|---|
| 070.023404 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512691200000",
"number": "1578078747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 W VAN BUREN ST APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CORPORATE DR STE 280",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333343628",
"telephone_number": "954-210-8008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSE",
"first_name": "ANTONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-08",
"last_updated": "2017-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.023404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.