Active NPI
Eric Ross Powell, PT
- Physical Therapist
- Hollywood, FL
National Provider Identifier
1700612926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3298
- Practice address
- 4000 Hollywood Blvd Apt 600N
Hollywood, FL 33021-6863 - Phone
- (928) 201-2334
- NPI assigned
- Sep 12, 2024
- 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 | 3298 | AZ | Primary |
Addresses
Primary practice location
4000 Hollywood Blvd Apt 600N
Hollywood, FL 33021-6863
Mailing address
2865 Grandhill Rd
Bullhead City, AZ 86442-8512
Phone (928) 201-2334
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 |
|---|---|---|---|
| 3298 | AZ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1700612926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2865 GRANDHILL RD",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864428512",
"telephone_number": "928-201-2334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 HOLLYWOOD BLVD APT 600N",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216863",
"telephone_number": "928-201-2334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "ERIC",
"middle_name": "ROSS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-12",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "3298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.