Active NPI
Bernadette Mallari
- Physical Therapist
- Altamonte Springs, FL
National Provider Identifier
1760854913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 7182
- Practice address
- 1099 West Town Parkway
Consulate Health Care at West Altamonte
Altamonte Springs, FL 32714 - Phone
- (407) 865-8000
- NPI assigned
- Oct 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | PT 7182 | FL | Primary |
Addresses
Primary practice location
1099 West Town Parkway
Consulate Health Care at West Altamonte
Altamonte Springs, FL 32714
Mailing address
1099 West Town Parkway
Consulate Health Care at West Altamonte
Altamonte Springs, FL 32714
Phone (407) 865-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 7182 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patient Care Specialty Group Florida LLC | Physical Therapist | Current | Accepting new patients |
Locations
3800 W Town Center Blvd
Orlando, FL 32837
Phone (407) 251-8088
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Orlando, FL
- NPI 1154109692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1760854913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1099 WEST TOWN PARKWAY",
"address_2": "CONSULATE HEALTH CARE AT WEST ALTAMONTE",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "32714",
"telephone_number": "407-865-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 WEST TOWN PARKWAY",
"address_2": "CONSULATE HEALTH CARE AT WEST ALTAMONTE",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "32714",
"telephone_number": "407-865-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLARI",
"first_name": "BERNADETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-28",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 7182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.