Individual provider Active NPI

Pamela Lynn Minore, PTA

  • Physical Therapy Assistant
  • Sarasota, FL
National Provider Identifier
1902033426
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A21665 Issued in FL
Practice address
3920 Bee Ridge Rd
BLDG E Unit G
Sarasota, FL 34233-1207
Phone
(941) 925-2700
NPI assigned
Jun 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A21665 FL Primary
Physical Therapy Assistant 225200000X A2493 MD

Addresses

Primary practice location

3920 Bee Ridge Rd
BLDG E Unit G
Sarasota, FL 34233-1207

Mailing address

4548 Tuscana Dr
Sarasota, FL 34241-4201
Phone (401) 598-9220

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

LicenseStateTypeSpecialty
A21665FLMDPhysical Therapy Assistant
A2493MDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Motion Sarasota Physical PastSince Jul 5, 2006 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1902033426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4548 TUSCANA DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342414201",
            "telephone_number": "401-598-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 BEE RIDGE RD",
            "address_2": "BLDG E UNIT G",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331207",
            "telephone_number": "941-925-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINORE",
        "first_name": "PAMELA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "A21665",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A2493",
            "primary": false
        }
    ],
    "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 Jun 11, 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.

Verify at the official NPI Registry.