Active NPI
Alberto Fabio Fentanes, P.T.
- Physical Therapist
- Clearwater, FL
National Provider Identifier
1609907336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10912
- Practice address
- 1944 N Hercules Ave Ste C
Clearwater, FL 33763-4403 - Phone
- (727) 787-8100
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- No
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 | PT10912 | FL | Primary |
Addresses
Primary practice location
1944 N Hercules Ave Ste C
Clearwater, FL 33763-4403
Mailing address
4725 Orange Grove Way
Palm Harbor, FL 34684-4026
Phone (727) 642-3220
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT10912 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shires Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| Premier Neurospine Institute, LLC | Past | Accepting new patients | |
| West Florida Orthopedic Rehabilitation, Inc. | Physical Therapist | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- St Petersburg, FL
- NPI 1619520616
-
- Physical Therapist
- Palm Harbor, FL
- NPI 1255462974
-
- Physical Therapist
- Tampa, FL
- NPI 1558456236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1609907336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4725 ORANGE GROVE WAY",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346844026",
"telephone_number": "727-642-3220",
"fax_number": "727-787-2747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1944 N HERCULES AVE STE C",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337634403",
"telephone_number": "727-787-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENTANES",
"first_name": "ALBERTO",
"middle_name": "FABIO",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT10912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.