NPIMap

Organization Active NPI

University Physical Medicine Inc

  • General Practice Physician
  • Tallahassee, FL
National Provider Identifier
1679811970
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME 57039 Issued in FL
Legal business name
UNIVERSITY PHYSICAL MEDICINE INC
Practice address
1224 Ocala Rd
Tallahassee, FL 32304-1548
Phone
(850) 576-2129
Fax
(850) 576-9602
NPI assigned
Jan 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Dr. Nicholas Belletto, D.C.NPI 1659497006
Title
Owner/Doctor
Phone
(850) 576-2129

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ME 57039 FL Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X RN 2567282 FL

Addresses

Primary practice location

1224 Ocala Rd
Tallahassee, FL 32304-1548

Mailing address

1224 Ocala Rd
Tallahassee, FL 32304-1548
Phone (850) 576-2129

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1679811970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 OCALA RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323041548",
            "telephone_number": "850-576-2129",
            "fax_number": "850-576-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 OCALA RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323041548",
            "telephone_number": "850-576-2129",
            "fax_number": "850-576-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PHYSICAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "BELLETTO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "850-576-2129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME 57039",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "RN 2567282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.