Active NPI
Pamela Lynn Minore, PTA
- Physical Therapy Assistant
- Sarasota, FL
National Provider Identifier
1902033426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A21665
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A21665 | FL | MD | Physical Therapy Assistant |
| A2493 | MD | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Motion Sarasota Physical | Past | 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.
-
- Physical Therapist
- Sarasota, FL
- NPI 1265474829
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.