Active NPI
Florencio Cusip Agustin III, PT
- Physical Therapist
- Alpena, MI
National Provider Identifier
1962895136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P13968
- Practice address
- 437 W. Washington Ave
Alpena, MI 49707 - Phone
- (989) 884-2187
- NPI assigned
- Mar 12, 2015
- Last updated
- Mar 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P13968 | NC | Primary |
| Physical Therapist | 225100000X | 5501013657 | MI |
Addresses
Primary practice location
437 W. Washington Ave
Alpena, MI 49707
Mailing address
437 W Washington Ave
Alpena, MI 49707-2738
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5501013657 | MI | MD | Physical Therapist |
| P13968 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1962895136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "437 W WASHINGTON AVE",
"city": "ALPENA",
"state": "MI",
"postal_code": "497072738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 W. WASHINGTON AVE",
"city": "ALPENA",
"state": "MI",
"postal_code": "49707",
"telephone_number": "989-884-2187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUSTIN",
"first_name": "FLORENCIO",
"middle_name": "CUSIP",
"name_suffix": "III",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-12",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P13968",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501013657",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpena, MI
- Rachel Achatz, LPC
- Connie Joan Adamiak, OTR
- Adaptable Therapy Solutions PLLC
- Maria Lynn Addelia, PHARMD
- Samantha Agerton
- Alcona Citizens for Health Inc (Alcona Health Center Pharmacy Services)
- Alcona Citizens for Health, Inc (Thunder Bay Junior High School)
- Alcona Citizens for Health, Inc (Alcona Health Center- Alpena Dental Services)
- Alcona Citizens for Health, Inc (AHC-Alpena High School)
- Alcona Citizens for Health, Inc (AHC-Aces Academy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.