Organization Active NPI

Personal Podiatry Associates, P.a.

  • Podiatrist
  • Tamarac, FL
National Provider Identifier
1841936432
Registry record updated May 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PERSONAL PODIATRY ASSOCIATES, P.A.
Practice address
8307 NW 88TH Ave
Tamarac, FL 33321-1539
Phone
(954) 721-3411
Fax
(954) 721-3772
NPI assigned
May 7, 2022
Last updated
May 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2022

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

Authorized official

Name
Dr. Colette Elizabeth Yori Tobia, DPMNPI 1598147290
Title
Podiatrist
Phone
(954) 721-3411

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary

Addresses

Primary practice location

8307 NW 88TH Ave
Tamarac, FL 33321-1539

Mailing address

8307 NW 88TH Ave
Tamarac, FL 33321-1539
Phone (954) 721-3411

Other practice location 1

252 S Flamingo Rd
Pembroke Pines, FL 33027-1721
Phone (954) 431-8855

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220715000192 FL Part B Supplier - Clinic/Group Practice 7214318757 Receives reassigned benefits from 1 practitioner
Practice locations: Tamarac, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1651881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651881600000",
    "number": "1841936432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8307 NW 88TH AVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211539",
            "telephone_number": "954-721-3411",
            "fax_number": "954-721-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8307 NW 88TH AVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211539",
            "telephone_number": "954-721-3411",
            "fax_number": "954-721-3772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 S Flamingo Rd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330271721",
            "country_code": "US",
            "telephone_number": "954-431-8855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERSONAL PODIATRY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-07",
        "last_updated": "2022-05-07",
        "certification_date": "2022-05-07",
        "status": "A",
        "authorized_official_last_name": "YORI TOBIA",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "954-721-3411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2022; 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.