Organization Active NPI

Advanced Health Physical Therapy Inc

  • Physical Therapist
  • Lauderhill, FL
National Provider Identifier
1598869612
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17717 Issued in FL
Legal business name
ADVANCED HEALTH PHYSICAL THERAPY INC
Practice address
7796 NW 44TH St
Lauderhill, FL 33351-6204
Phone
(954) 353-8847
Fax
(954) 533-2852
NPI assigned
Sep 11, 2006
Last updated
Mar 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Authorized official

Name
Mr. Daniele B D'Ambrosio, MPTNPI 1114020559
Title
President
Phone
(954) 608-3075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17717 FL Primary
Occupational Therapist 225X00000X 11462 FL
Speech-Language Pathologist 235Z00000X 0001575 FL

Addresses

Primary practice location

7796 NW 44TH St
Lauderhill, FL 33351-6204

Mailing address

966 Nautilus Isle
Dania Beach, FL 33004-2356
Phone (954) 476-5928

Other identifiers 1

IdentifierTypeStateIssuer
889774300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040426001027 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3476540295 Receives reassigned benefits from 3 practitioners
Practice locations: Dania Beach, FL

National Provider Directory

National Provider Directory

Locations

7796 NW 44th St
Lauderhill, FL 33351
Phone (954) 353-8847

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1598869612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 NAUTILUS ISLE",
            "city": "DANIA BEACH",
            "state": "FL",
            "postal_code": "330042356",
            "telephone_number": "954-476-5928",
            "fax_number": "954-530-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7796 NW 44TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333516204",
            "telephone_number": "954-353-8847",
            "fax_number": "954-533-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "D'AMBROSIO",
        "authorized_official_first_name": "DANIELE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-608-3075",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "17717",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "11462",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "0001575",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889774300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.