Active NPI
Vanessa I. Dunsmore, PTA
- Physical Therapy Assistant
- Saint Petersburg, FL
National Provider Identifier
1700197340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8646
- Practice address
- 2039 30TH Ave N
Saint Petersburg, FL 33713-4162 - Phone
- (727) 460-1104
- NPI assigned
- Jun 29, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 8646 | OR | Primary |
| Physical Therapy Assistant | 225200000X | 19186 | FL |
Addresses
Primary practice location
2039 30TH Ave N
Saint Petersburg, FL 33713-4162
Mailing address
2039 30TH Ave N
Saint Petersburg, FL 33713-4162
Phone (727) 460-1104
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 |
|---|---|---|---|
| 19186 | FL | MD | Physical Therapy Assistant |
| 8646 | OR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1700197340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2039 30TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337134162",
"telephone_number": "727-460-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2039 30TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337134162",
"telephone_number": "727-460-1104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNSMORE",
"first_name": "VANESSA",
"middle_name": "I.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "8646",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "19186",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.