Individual provider Active NPI

Colette Amit

  • Physical Therapist
  • Plantation, FL
National Provider Identifier
1821194432
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0006687 Issued in FL
Practice address
350 NW 70TH Ave Ste a
Plantation, FL 33317-2349
Phone
(954) 741-2221
Fax
(954) 741-2155
NPI assigned
Sep 15, 2006
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT0006687 FL Primary

Addresses

Primary practice location

350 NW 70TH Ave Ste a
Plantation, FL 33317-2349

Mailing address

350 NW 70TH Ave Ste a
Plantation, FL 33317-2349
Phone (954) 741-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050813000117 FL Practitioner - Physical Therapist in Private Practice 6305876020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabxperience LLCGroup PAC ID 7315977030, 3 clinicians

Practice addresses (Care Compare)

350 NW 70TH Ave
Suite a
Plantation, FL 33317-2349
Phone (954) 741-2221

6471 W Commercial Blvd
Tamarac, FL 33319-2110
Phone (954) 741-2221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabxperience LLC CurrentSince May 3, 2005 Accepting new patients

Locations

350 NW 70th Ave
#A
Plantation, FL 33317
Phone (954) 587-7520

3529 N Pine Island Rd
Sunrise, FL 33351
Phone (954) 741-2221

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1821194432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NW 70TH AVE STE A",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172349",
            "telephone_number": "954-741-2221",
            "fax_number": "954-741-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 70TH AVE STE A",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172349",
            "telephone_number": "954-741-2221",
            "fax_number": "954-741-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIT",
        "first_name": "COLETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0006687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.