Active NPI
Cynthia Gale Dinenna
- Physical Therapist
- Palm City, FL
National Provider Identifier
1851840383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10790
- Practice address
- 3539 SW Corporate Pkwy
Palm City, FL 34990 - Phone
- (772) 220-3444
- Fax
- (772) 220-3839
- NPI assigned
- Sep 26, 2016
- Last updated
- Sep 26, 2016
- Sex
- Female
- 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 | 10790 | FL | Primary |
Addresses
Primary practice location
3539 SW Corporate Pkwy
Palm City, FL 34990
Mailing address
3539 SW Corporate Pkwy
Palm City, FL 34990
Phone (772) 220-3444
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 |
|---|---|---|---|
| 10790 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm City Physical Therapy, Inc. | Physical Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Palm City, FL
- NPI 1487710513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1851840383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3539 SW CORPORATE PKWY",
"city": "PALM CITY",
"state": "FL",
"postal_code": "34990",
"telephone_number": "772-220-3444",
"fax_number": "772-220-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3539 SW CORPORATE PKWY",
"city": "PALM CITY",
"state": "FL",
"postal_code": "34990",
"telephone_number": "772-220-3444",
"fax_number": "772-220-3839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINENNA",
"first_name": "CYNTHIA",
"middle_name": "GALE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-26",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "10790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.