Carlo Alberto Preciso Micheletti

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA27610 Issued in FL

Practice address

8612 Griffin Rd
Cooper City, FL 33328-3719

Phone

(954) 252-8900

NPI assigned

May 23, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499990400000",
    "number": "1700314648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 NW 18TH PL",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225695",
            "telephone_number": "954-496-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8612 GRIFFIN RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283719",
            "telephone_number": "954-252-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELETTI",
        "first_name": "CARLO",
        "middle_name": "ALBERTO PRECISO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTAT27610",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA27610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Maria Menendez Llera, D.M.D
• Shirley Y Mesa, MS CCC SLP
• Steven Messina, LMT
• April Liz Metott, MS.CCC-SLP
• Hailey Allison Metzger
• Alyce Lynn Militzok, LMHC
• Barbara A Mintz, AP
• Miramar Family Dentistry, Inc
• Cristina Maria Monroe, APRN - FNP - C
• Dawn Marlene Monteiro, OTR/L

• Physical Therapy Assistant in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; 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.