Organization Active NPI

Practitioners at Home Direct LLC

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1760730212
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS9181 Issued in FL
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Dr. Anthony Montanaro, D.O.NPI 1033216015
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.