Angelo Pata, DPT
Individual provider Active NPI Physical Therapist · Osprey, FL
NPI 1669213732 · NPPES record last updated Jun 27, 2024
Key facts
- NPI
- 1669213732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT41712 (FL)
- Practice address
- 3976 Destination Dr Unit 206
Osprey, FL 34229-9502 - Phone
- (941) 966-1227
- NPI assigned
- Jun 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT41712 | FL | Yes |
Addresses
Primary practice location
3976 Destination Dr Unit 206
Osprey, FL 34229-9502
Mailing address
10414 Crooked Creek CT
Parrish, FL 34219-1672
Other providers in Osprey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.