Jhomar Aurelio

Individual provider Active NPI Physical Therapist · Saint Petersburg, FL

NPI 1851978720 · NPPES record last updated Mar 26, 2021

Key facts

NPI
1851978720
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT23331 (FL)
Practice address
260 1St Ave S Ste 161
Saint Petersburg, FL 33701-4361
Phone
(727) 803-1102
NPI assigned
Mar 26, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT23331FLMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT23331 FL Yes

Addresses

Primary practice location

260 1St Ave S Ste 161
Saint Petersburg, FL 33701-4361

Mailing address

260 1St Ave S Ste 200
Saint Petersburg, FL 33701-4364
Phone (727) 803-1102

Other providers in Saint Petersburg, FL

All providers in Saint Petersburg, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.