Renata Di Venere Baricelli, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT39117 Issued in FL

Practice address

1495 S Volusia Ave
Orange City, FL 32763-7047

Phone

(386) 401-6100

Fax

(386) 960-0551

NPI assigned

Aug 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Direct Physical Therapy LLC

  • Physical Therapist
  • Orange City, FL
  • NPI 1922506120
  NPD (past)

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1922735232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 S VOLUSIA AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637047",
            "telephone_number": "386-401-6100",
            "fax_number": "386-960-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 S VOLUSIA AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637047",
            "telephone_number": "386-401-6100",
            "fax_number": "386-960-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI VENERE BARICELLI",
        "first_name": "RENATA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "WebPT",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "1495 S Volusia Ave",
            "city": "Orange City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327637047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laith Derbas, MD
• Elizabeth Michelle Derminer, CNM/WHNP
• Rohan K Desai, M.D.
• Michael P Desouza, MD
• Mashal Dhanani
• Kevin David Diana, PTA
• Elizbeth Diaz Caraballo
• Dennis F. Diaz, M.D.
• Summer Dillard
• Anthony Dire, DMD

• Physical Therapist in Orange City, FL
• Providers in Orange City, 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 9, 2022; 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.