Active NPI
Anthony John Handal
- Developmental Therapist
- Winter Garden, FL
National Provider Identifier
1578727277
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Aug 20, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 1014 Portmoor Way
Winter Garden, FL 34787-4617 - Phone
- (407) 905-9290
- NPI assigned
- Jul 11, 2008
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
1014 Portmoor Way
Winter Garden, FL 34787-4617
Mailing address
1014 Portmoor Way
Winter Garden, FL 34787-4617
Phone (407) 905-9290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 811684900 | Medicaid | FL |
Other names 1
- A.J. Handal
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303862400000",
"number": "1578727277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 PORTMOOR WAY",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347874617",
"telephone_number": "407-905-9290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 PORTMOOR WAY",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347874617",
"telephone_number": "407-905-9290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDAL",
"first_name": "ANTHONY",
"middle_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-11",
"last_updated": "2011-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "811684900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "A.J.",
"last_name": "HANDAL",
"credential": "BCBA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.