Individual provider Active NPI

Gloria Vasolo, PT

  • Physical Therapist
  • Sunny Isles Beach, FL
National Provider Identifier
1871505446
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10348 Issued in FL
Practice address
17100 Collins Ave
Sunny Isles Beach, FL 33160-3675
Phone
(305) 555-1212
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT10348 FL Primary

Addresses

Primary practice location

17100 Collins Ave
Sunny Isles Beach, FL 33160-3675

Mailing address

17100 Collins Ave
Sunny Isles Beach, FL 33160-3675
Phone (305) 555-1212

Other identifiers 1

IdentifierTypeStateIssuer
AD868YOtherFLLEGACY

Other names 1

  • Gloria Ines Vassolo Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070817000443 FL Practitioner - Physical Therapist in Private Practice 9234221474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Touch of Health Rehab CorporationGroup PAC ID 6800815937, 2 clinicians

Practice addresses (Care Compare)

17070 Collins Ave
Suite 254
Sunny Isles Beach, FL 33160-3635
Phone (305) 947-7788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Touch of Health Rehab Corporation Physical Therapist CurrentSince Jun 1, 2012 Accepting new patients
NBC Rehab Inc Physical Therapist PastSince Nov 19, 2007 Accepting new patients
National Balance & Hearing Centers Inc Past Accepting new patients
Rafael Health Services Inc Past Accepting new patients

Locations

17100 Collins Ave
Sunny Isles Beach, FL 33160
Phone (305) 555-1212

17070 Collins Ave
Ste 254
Sunny Isles Beach, FL 33160
Phone (305) 947-5788

17100 Collins Ave
Ste 211
Sunny Isles Beach, FL 33160
Phone (305) 947-7788

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1871505446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 COLLINS AVE",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603675",
            "telephone_number": "305-555-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 COLLINS AVE",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603675",
            "telephone_number": "305-555-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASOLO",
        "first_name": "GLORIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY",
            "identifier": "AD868Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "VASSOLO",
            "middle_name": "INES",
            "credential": "RPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.