NPIMap

Organization Active NPI

Advanced Physical Therapy of Palmetto Inc

  • Physical Therapist
  • Palmetto, FL
National Provider Identifier
1952476400
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ADVANCED PHYSICAL THERAPY OF PALMETTO INC
Practice address
908 Riverside Dr
Suite 430
Palmetto, FL 34221-5035
Phone
(941) 721-6111
Fax
(941) 721-6119
NPI assigned
Nov 21, 2006
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Kathleen Devine, P.T.
Title
Owner
Phone
(941) 721-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

908 Riverside Dr
Suite 430
Palmetto, FL 34221-5035

Mailing address

908 Riverside Dr
Suite 430
Palmetto, FL 34221-5035
Phone (941) 721-6111

Other identifiers 2

IdentifierTypeStateIssuer
3631067OtherFLAETNA HMO ONLY
Y906VOtherFLBCBS FACILITY GROUP

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

272 S Indiana Ave
Englewood, FL 34223
Phone (941) 474-6610

908 Riverside Dr
Ste 430
Palmetto, FL 34221
Phone (941) 721-6111

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1952476400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 RIVERSIDE DR",
            "address_2": "SUITE 430",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215035",
            "telephone_number": "941-721-6111",
            "fax_number": "941-721-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 RIVERSIDE DR",
            "address_2": "SUITE 430",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215035",
            "telephone_number": "941-721-6111",
            "fax_number": "941-721-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL THERAPY OF PALMETTO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-721-6111",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO ONLY",
            "identifier": "3631067",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FACILITY GROUP",
            "identifier": "Y906V",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.