Individual provider Active NPI

Jeffery Paul Argonza Patajo, P.T.

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1932375011
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.012113 Issued in OH
Practice address
3201 W Commercial Blvd
Ste 116
Ft Lauderdale, FL 33309-3440
Phone
(800) 886-8108
NPI assigned
May 7, 2008
Last updated
May 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT.012113 OH Primary

Addresses

Primary practice location

3201 W Commercial Blvd
Ste 116
Ft Lauderdale, FL 33309-3440

Mailing address

1752 N Landfair St
Anaheim, CA 92806-1108
Phone (714) 272-8396

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT.012113OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1932375011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 N LANDFAIR ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928061108",
            "telephone_number": "714-272-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W COMMERCIAL BLVD",
            "address_2": "STE 116",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093440",
            "telephone_number": "800-886-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATAJO",
        "first_name": "JEFFERY PAUL",
        "middle_name": "ARGONZA",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.012113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.