Active NPI
Andreas Machulski
- Physical Therapy Assistant
- Venice, FL
National Provider Identifier
1912762170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 25356
- Practice address
- 333 Tamiami TRL S Ste 207
Venice, FL 34285-2424 - Phone
- (941) 484-2471
- NPI assigned
- Feb 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 25356 | FL | Primary |
Addresses
Primary practice location
333 Tamiami TRL S Ste 207
Venice, FL 34285-2424
Mailing address
5882 Palmer Ranch Parkway
Sarasota, FL 34238
Phone (941) 284-5451
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 |
|---|---|---|---|
| 25356 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greene Rehab Services PA | 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.
-
- Rehabilitation Clinic/Center
- Venice, FL
- NPI 1831192970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1912762170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5882 PALMER RANCH PARKWAY",
"city": "SARASOTA",
"state": "FL",
"postal_code": "34238",
"telephone_number": "941-284-5451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 TAMIAMI TRL S STE 207",
"city": "VENICE",
"state": "FL",
"postal_code": "342852424",
"telephone_number": "941-484-2471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHULSKI",
"first_name": "ANDREAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-16",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "25356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.