Active NPI
Timothy A Agew
- Kinesiotherapist
- Sarasota, FL
National Provider Identifier
1902030802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- License
- MA21615
- Practice address
- 1501 N Lockwood Ridge Rd
Sarasota, FL 34237-3218 - Phone
- (941) 362-9627
- NPI assigned
- May 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA21615 | FL | |
| Kinesiotherapist | 226300000X | MA21615 | FL | Primary |
Addresses
Primary practice location
1501 N Lockwood Ridge Rd
Sarasota, FL 34237-3218
Mailing address
1501 N Lockwood Ridge Rd
Sarasota, FL 34237-3218
Phone (941) 362-9627
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 |
|---|---|---|---|
| MA21615 | FL | MD | Kinesiotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241568000000",
"number": "1902030802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N LOCKWOOD RIDGE RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342373218",
"telephone_number": "941-362-9627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N LOCKWOOD RIDGE RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342373218",
"telephone_number": "941-362-9627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGEW",
"first_name": "TIMOTHY",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-06",
"last_updated": "2009-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA21615",
"primary": false
},
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": "FL",
"license": "MA21615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.