Jorge Bazante

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

32002 Issued in FL

Practice address

53 Ash Dr
Hollywood, FL 33026-1102

Phone

(561) 767-4421

Fax

(561) 768-7269

NPI assigned

Jun 20, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Amee Cohen and Associates

  • Occupational Therapist
  • Hollywood, FL
  • NPI 1952622102
  NPD (past)

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1679204713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS POINT DR APT 1510",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604730",
            "telephone_number": "561-900-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 ASH DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261102",
            "telephone_number": "561-767-4421",
            "fax_number": "561-768-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZANTE",
        "first_name": "JORGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "32002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dariscel Batista Perez
• Eduardo Batista, P.A.
• Amber Batzold, PHARMD
• Craig Ira Bauer, DC
• Wendy Rachel Bayless
• Jill Michelle Bazel, M.S.
• Taina Bazelais
• Shanika Bazile, RBT
• BC ABA Therapy LLC
• Bcot Assessment & Services, Inc

• Physical Therapy Assistant in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.