Active NPI
Alexis Vitale
- Developmental Therapist
- Pompano Beach, FL
National Provider Identifier
1750664470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 27541199
- Practice address
- 2708 NE 14TH St
Suite 5
Pompano Beach, FL 33062-3565 - Phone
- (888) 880-9270
- NPI assigned
- Sep 20, 2011
- Last updated
- Sep 20, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 27541199 | PA | Primary |
Addresses
Primary practice location
2708 NE 14TH St
Suite 5
Pompano Beach, FL 33062-3565
Mailing address
2004 Banister Loop
Jacksonville, NC 28546-7197
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 |
|---|---|---|---|
| 27541199 | PA | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1750664470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 BANISTER LOOP",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285467197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 NE 14TH ST",
"address_2": "SUITE 5",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330623565",
"telephone_number": "888-880-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITALE",
"first_name": "ALEXIS",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-20",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "PA",
"license": "27541199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
- Michelle Lyn Viscarra, MULTIPLE SUBJECT
- Visionworks, Inc (Visionworks)
- Visiting Helpers Inc
- Vital Dental Center of Pompano PLLC
- Vital Shred (Atlantic Pharmacy & Compounding)
- Samantha Crystal Vitale, DMD
- Vitality Enterprises LLC (Vitality 4 Life with Curtis Adams)
- Vivienne V. Tai, MD, PA
- Vizcaya Alf Inc (Vizcaya by the Sea)
- Vizcaya by the Sea
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.