Active NPI
Percival Obias, P.T.
- Physical Therapist
- Fort Lauderdale, FL
National Provider Identifier
1700066826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 028909
- Practice address
- 3201 W. Commercial Blvd.
Suite 116
Fort Lauderdale, FL 33309-3440 - Phone
- (954) 739-4247
- Fax
- (866) 422-6431
- NPI assigned
- Nov 6, 2007
- Last updated
- Nov 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 028909 | NY | Primary |
Addresses
Primary practice location
3201 W. Commercial Blvd.
Suite 116
Fort Lauderdale, FL 33309-3440
Mailing address
3290 N. Ridge Rd., Exec. Center II
Suite 290
Ellicott City, MD 21043-3655
Phone (410) 750-9006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028909 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1700066826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3290 N. RIDGE RD., EXEC. CENTER II",
"address_2": "SUITE 290",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433655",
"telephone_number": "410-750-9006",
"fax_number": "410-750-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 W. COMMERCIAL BLVD.",
"address_2": "SUITE 116",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093440",
"telephone_number": "954-739-4247",
"fax_number": "866-422-6431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBIAS",
"first_name": "PERCIVAL",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-06",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "028909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
- OB Hospitalist Group LLC
- OB Hospitalist Group LLC
- Samida Stecia Obas
- Jerome R Obed, DO
- Zaydoon Asaad Obeid, MD
- Julie Georgina Obregon-Lora, DO
- Ruben Ocana Colon
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Centers)
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
- Occupational Health Centers of the Southwest P.a. (Advanced Medical Specialist)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.