South Venice Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19775 Issued in FL

Legal business name

SOUTH VENICE PHYSICAL THERAPY

Practice address

1845 Englewood Rd Unit 825
Englewood, FL 34223-1822

Phone

(941) 375-8734

Fax

(941) 445-5085

NPI assigned

Aug 17, 2017

Organization subpart

No

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

Authorized official

Name

Kenneth I Tribit

Title

President

Phone

(941) 375-8734

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1780100073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LAUREL RD E",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342755233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 ENGLEWOOD RD UNIT 825",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342231822",
            "telephone_number": "941-375-8734",
            "fax_number": "941-445-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VENICE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "TRIBIT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-375-8734"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Kay Smith, RPH
• Laci Caitlin Soldaini, FNP
• Maureen E. Solliday, FNP-C
• South Cove Counseling LLC
• South Venice Physical Therapy
• Debra K Specht, LMT
• St. Anthony Health Care, LLC
• Kristy Staubach
• Jamie Lynn Steele, APRN
• Jonathan D Stern

• Physical Therapist in Englewood, FL
• Providers in Englewood, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.