Anthony Peter Bastolla, MSPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT20901 Issued in FL

Practice address

705 W State Road 434
Longwood, FL 32750-4907

Phone

(407) 831-6801

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportscare Institute LLCGroup PAC ID 2365626272, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Sportscare Institute, LLC

  • Physical Therapist
  • Winter Park, FL
  • NPI 1336466671

  Orthopedic

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689705865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 OAK HAVEN DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016318",
            "telephone_number": "407-331-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504907",
            "telephone_number": "407-831-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTOLLA",
        "first_name": "ANTHONY",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT20901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Barrett
• Julia Barrett
• Annelle Barse Balseca
• Melissa Barthelson Miller, LMHC
• Amy Bartoli, MSW
• Teri Batley, MS CCC-SLP
• Batson Family Health Center for Wellness,P.a.
• Betsy R Batwin, LMT
• Marcia Bazelais, RRT
• Tanya Bazzi, RDN LDN

• Orthopedic Physical Therapist in Longwood, FL
• Providers in Longwood, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.