Individual provider Active NPI

Alvin Angelo Justiniani Villarante, PT

  • Physical Therapist
  • Bradenton, FL
National Provider Identifier
1942358155
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
RPT 11325 Issued in FL
Practice address
6305 Cortez Rd W
Bradenton, FL 34210-2604
Phone
(941) 761-3499
Fax
(941) 567-1812
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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 RPT 11325 FL Primary

Addresses

Primary practice location

6305 Cortez Rd W
Bradenton, FL 34210-2604

Mailing address

6305 Cortez Rd W
Bradenton, FL 34210-2604
Phone (941) 761-3499

Other identifiers 1

IdentifierTypeStateIssuer
PT 11325OtherFLPT

Other names 1

  • Mr. Alvin Angelo Villarante Other name

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
RPT 11325FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1942358155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102604",
            "telephone_number": "941-761-3499",
            "fax_number": "941-567-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102604",
            "telephone_number": "941-761-3499",
            "fax_number": "941-567-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARANTE",
        "first_name": "ALVIN ANGELO",
        "middle_name": "JUSTINIANI",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "RPT 11325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT",
            "identifier": "PT 11325",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALVIN ANGELO",
            "last_name": "VILLARANTE",
            "prefix": "MR.",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.