Organization Active NPI

Atlantic Physical Therapy Inc

  • Physical Therapist
  • Miami Beach, FL
National Provider Identifier
1609951524
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATLANTIC PHYSICAL THERAPY INC
Practice address
736 Arthur Godfrey Road
Miami Beach, FL 33140-3414
Phone
(305) 672-6474
Fax
(305) 672-6482
NPI assigned
Oct 26, 2006
Last updated
Mar 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Authorized official

Name
Mr. Daniel James Iannettone, DPTNPI 1760567689
Title
President
Phone
(305) 672-6474

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

736 Arthur Godfrey Road
Miami Beach, FL 33140-3414

Mailing address

736 Arthur Godfrey Road
Miami Beach, FL 33140-3414
Phone (305) 672-6474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108000673 FL Part B Supplier - Clinic/Group Practice 4284533126 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

736 Arthur Godfrey Rd
Miami Beach, FL 33140
Phone (305) 672-6474

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1609951524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 ARTHUR GODFREY ROAD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403414",
            "telephone_number": "305-672-6474",
            "fax_number": "305-672-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 ARTHUR GODFREY ROAD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403414",
            "telephone_number": "305-672-6474",
            "fax_number": "305-672-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "IANNETTONE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-672-6474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.