NPIMap

Organization Active NPI

Angel Hands Physical Therapy PLLC

  • Home Health Agency
  • Port Saint Lucie, FL
National Provider Identifier
1962723601
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PT20263 Issued in FL
Legal business name
ANGEL HANDS PHYSICAL THERAPY PLLC
Practice address
121 NE Tunison Ave
Port Saint Lucie, FL 34983-1732
Phone
(772) 834-5167
NPI assigned
Jun 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Sandra I Davila, PTNPI 1902835291
Title
Owner
Phone
(772) 834-5167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PT20263 FL Primary

Addresses

Primary practice location

121 NE Tunison Ave
Port Saint Lucie, FL 34983-1732

Mailing address

121 NE Tunison Ave
Port Saint Lucie, FL 34983-1732
Phone (772) 834-5167

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1962723601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NE TUNISON AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831732",
            "telephone_number": "772-834-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NE TUNISON AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831732",
            "telephone_number": "772-834-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HANDS PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-834-5167",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "PT20263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.