Byron E Ames, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 2171 Issued in FL

Practice address

4270 Minton Rd
Suite 120
West Melbourne, FL 32904-9578

Phone

(321) 690-6612

Fax

(321) 690-2630

NPI assigned

Jul 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jim Ames Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497571200000",
    "number": "1902004609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 E EAU GALLIE BLVD",
            "address_2": "SUITE 106",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374252",
            "telephone_number": "321-773-5290",
            "fax_number": "321-773-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 MINTON RD",
            "address_2": "SUITE 120",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329049578",
            "telephone_number": "321-690-6612",
            "fax_number": "321-690-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMES",
        "first_name": "BYRON",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2017-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 2171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT2171",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIM",
            "last_name": "AMES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Therapist in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.