Active NPI
Practitioners at Home Direct LLC
- Family Medicine Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS9181
- Legal business name
- PRACTITIONERS AT HOME DIRECT LLC
- Practice address
- 1533 4TH Ave W
Bradenton, FL 34205-5949 - Phone
- (941) 748-8400
- Fax
- (941) 748-8440
- NPI assigned
- Aug 15, 2012
- Last updated
- Oct 6, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony Montanaro, D.O.
- Title
- MGR
- Phone
- (941) 748-8400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS9181 | FL | Primary |
| Cardiovascular Disease Physician | 207RC0000X | ME0067842 | FL |
Addresses
Primary practice location
1533 4TH Ave W
Bradenton, FL 34205-5949
Mailing address
1533 4TH Ave W
Bradenton, FL 34205-5949
Phone (941) 748-8400
National Provider Directory
National Provider DirectoryLocations
6410 21st Ave W
Bradenton, FL 34209
Phone (941) 798-8000
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Bradenton, FL
- NPI 1033216015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444089600000",
"number": "1760730212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1533 4TH AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342055949",
"telephone_number": "941-748-8400",
"fax_number": "941-748-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1533 4TH AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342055949",
"telephone_number": "941-748-8400",
"fax_number": "941-748-8440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRACTITIONERS AT HOME DIRECT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-15",
"last_updated": "2015-10-06",
"status": "A",
"authorized_official_last_name": "MONTANARO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "941-748-8400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS9181",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME0067842",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.