Organization Active NPI

Vennett Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Lake Worth, FL
National Provider Identifier
1689724650
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT860 Issued in FL
Legal business name
VENNETT PHYSICAL THERAPY LLC
Practice address
130 John F Kennedy Dr
Suite 132
Lake Worth, FL 33462-1141
Phone
(561) 969-6125
Fax
(561) 964-5301
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Ms. Patricia Ann Vennett, PT
Title
Owner
Phone
(561) 969-6125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT860 FL Primary

Addresses

Primary practice location

130 John F Kennedy Dr
Suite 132
Lake Worth, FL 33462-1141

Mailing address

8462 Egret Meadow LN
West Palm Beach, FL 33412-1556
Phone (561) 776-6275

Other identifiers 1

IdentifierTypeStateIssuer
Y913MOtherFLBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1689724650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8462 EGRET MEADOW LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121556",
            "telephone_number": "561-776-6275",
            "fax_number": "561-964-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JOHN F KENNEDY DR",
            "address_2": "SUITE 132",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334621141",
            "telephone_number": "561-969-6125",
            "fax_number": "561-964-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENNETT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "VENNETT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-969-6125",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "Y913M",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.