Active NPI
Grant Wortz
- Physical Therapist
- Heathrow, FL
National Provider Identifier
1851531594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10310
- Practice address
- 1485 International Pkwy
Suite 2051
Heathrow, FL 32746-5303 - Phone
- (800) 798-6035
- NPI assigned
- Feb 20, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 10310 | FL | Primary |
Addresses
Primary practice location
1485 International Pkwy
Suite 2051
Heathrow, FL 32746-5303
Mailing address
102 Saint Ives Dr
Palm Harbor, FL 34684-3325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10310 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Voyage Staffing | Past | Accepting new patients |
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.
-
- Nursing Care Agency
- Heathrow, FL
- NPI 1316133788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1851531594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 SAINT IVES DR",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 INTERNATIONAL PKWY",
"address_2": "SUITE 2051",
"city": "HEATHROW",
"state": "FL",
"postal_code": "327465303",
"telephone_number": "800-798-6035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTZ",
"first_name": "GRANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-20",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "10310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Heathrow, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.