Physioactive LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSIOACTIVE LLC

Practice address

7700 Congress Ave
Suite 2102
Boca Raton, FL 33487-1352

Phone

(561) 241-5499

Fax

(561) 241-5498

NPI assigned

Sep 8, 2011

Organization subpart

No

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

Authorized official

Name

Rosseane V Brito, PTNPI 1467630996

Title

Sole Proprietor

Phone

(561) 245-7418

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rosseane Veras Brito, P.T

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1467630996
  Medicare reassignment NPD Authorized official
• James Weinstein, P.T.

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1518979699
  Medicare reassignment NPD

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1831470483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22035 MARTELLA AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334632",
            "telephone_number": "561-245-7418",
            "fax_number": "561-245-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 CONGRESS AVE",
            "address_2": "SUITE 2102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871352",
            "telephone_number": "561-241-5499",
            "fax_number": "561-241-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOACTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "BRITO",
        "authorized_official_first_name": "ROSSEANE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "561-245-7418",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Boca Raton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.

Verify at the official NPI Registry.