Farese Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0004310 Issued in FL

Legal business name

FARESE PHYSICAL THERAPY, INC

Practice address

1890 W Bay Dr
Suite W1
Largo, FL 33770-3019

Phone

(727) 584-6160

Fax

(727) 584-6745

NPI assigned

May 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia L Farese, PT

Title

Physical Therapist

Phone

(727) 584-6160

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Farese Physical Therapy Center, Inc

  • Physical Therapy Clinic/Center
  • St Petersburg, FL
  • NPI 1710945704

  O20031118000185

  Same enrollment
• Farese Physical Therapy Center, Inc.

  • Physical Therapist
  • St Petersburg, FL
  • NPI 1194932426

  O20031118000185

  Same enrollment

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912115825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 W BAY DR",
            "address_2": "SUITE W1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703019",
            "telephone_number": "727-584-6160",
            "fax_number": "727-584-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 W BAY DR",
            "address_2": "SUITE W1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703019",
            "telephone_number": "727-584-6160",
            "fax_number": "727-584-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARESE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARESE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "727-584-6160",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0004310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Life Today, Inc
• Fansler Anterior Spinal Access PL
• Richard F Fansler, MD
• Kimberly Farabaugh, PHARMD
• Farese Physical Therapy Center of Largo, Inc.
• Farwa Farid, MBBS, RMHCI
• Megan Marie Farina, AU.D.
• Christine Marie Farmer, RBT
• Lauren Noelle Farr, M.S. CF-SLP
• Danielle Farrell

• Physical Therapist in Largo, FL
• Providers in Largo, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.