Individual provider Active NPI

Patricia Mary Bartolucci, RPT

  • Human Factors Physical Therapist
  • Indian Rocks Beach, FL
National Provider Identifier
1962704684
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Human Factors Physical TherapistTaxonomy code 2251H1300X
License
PT 12435 Issued in FL
Practice address
123 11TH Ave
Indian Rocks Beach, FL 33785-3725
Phone
(518) 248-0317
Fax
(727) 238-8088
NPI assigned
Dec 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Human Factors Physical Therapist 2251H1300X PT 12435 FL Primary

Addresses

Primary practice location

123 11TH Ave
Indian Rocks Beach, FL 33785-3725

Mailing address

123 11TH Ave
Indian Rocks Beach, FL 33785-3725
Phone (518) 248-0317

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

LicenseStateTypeSpecialty
PT 12435FLMDHuman Factors Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1962704684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 11TH AVE",
            "city": "INDIAN ROCKS BEACH",
            "state": "FL",
            "postal_code": "337853725",
            "telephone_number": "518-248-0317",
            "fax_number": "727-238-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 11TH AVE",
            "city": "INDIAN ROCKS BEACH",
            "state": "FL",
            "postal_code": "337853725",
            "telephone_number": "518-248-0317",
            "fax_number": "727-238-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLUCCI",
        "first_name": "PATRICIA",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251H1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Human Factors",
            "state": "FL",
            "license": "PT 12435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Rocks Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.