Active NPI
Amir Sean Bedran
- Physical Therapy Assistant
- Wellington, FL
National Provider Identifier
1639055817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA33689
- Practice address
- 10654 Versailles Blvd
Wellington, FL 33449-8085 - Phone
- (561) 234-7099
- NPI assigned
- Aug 13, 2025
- Last updated
- Aug 13, 2025
- 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 Therapy Assistant | 225200000X | PTA33689 | FL | Primary |
Addresses
Primary practice location
10654 Versailles Blvd
Wellington, FL 33449-8085
Mailing address
10654 Versailles Blvd
Wellington, FL 33449-8085
Phone (561) 234-7099
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 |
|---|---|---|---|
| PTA33689 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1639055817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10654 VERSAILLES BLVD",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334498085",
"telephone_number": "561-234-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10654 VERSAILLES BLVD",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334498085",
"telephone_number": "561-234-7099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDRAN",
"first_name": "AMIR",
"middle_name": "SEAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-13",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA33689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
- Barbara D Bazan Chibas
- Estelle Beauge, RPA-C
- Beauvais Homecare Services 1 Inc (Beauvais Homecare Services 3 Inc)
- Michele Renna Beck-Torres, MD
- Edward Rene Becker, M.D.
- Behavior Consulting Team LLC
- Behavioral and Counseling Centers LLC
- Behive Health, LLC (BeHive Health)
- Belac Heath LLC Dba Project Mosheh
- Jermaine Bell, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.