Organization Active NPI

Cca Enterprises & Ventures, LLC

  • Physical Therapist
  • Palm Bay, FL
National Provider Identifier
1760709000
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CCA ENTERPRISES & VENTURES, LLC
Practice address
919 Pine Walk CT NE
Palm Bay, FL 32905-4450
Phone
(321) 727-7303
Fax
(321) 725-2406
NPI assigned
Apr 27, 2010
Last updated
Apr 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Cesar Aganon
Title
Managing Member
Phone
(321) 727-7303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

919 Pine Walk CT NE
Palm Bay, FL 32905-4450

Mailing address

919 Pine Walk CT NE
Palm Bay, FL 32905-4450
Phone (321) 727-7303

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1760709000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 PINE WALK CT NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054450",
            "telephone_number": "321-727-7303",
            "fax_number": "321-725-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 PINE WALK CT NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054450",
            "telephone_number": "321-727-7303",
            "fax_number": "321-725-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCA ENTERPRISES & VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "AGANON",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "321-727-7303"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.