Active NPI
Physioworks Inc
- Physical Therapist
- Englewood, FL
National Provider Identifier
1972668473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4313
- Legal business name
- PHYSIOWORKS INC
- Practice address
- 2001 S McCall Rd
Unit D
Englewood, FL 34223-4500 - Phone
- (941) 474-3110
- Fax
- (941) 474-1306
- NPI assigned
- Dec 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard Barletta, MPH, PT
- Title
- President
- Phone
- (941) 497-1737
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT4313 | FL | Primary |
| Occupational Therapist | 225X00000X | OT3289 | FL |
Addresses
Primary practice location
2001 S McCall Rd
Unit D
Englewood, FL 34223-4500
Mailing address
2001 S McCall Rd
Unit D
Englewood, FL 34223-4500
Phone (941) 474-3110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060309000339 | FL | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 7012924418 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Venice, FL |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
2001 S McCall Rd
Ste D
Englewood, FL 34223
Phone (941) 474-3110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203465600000",
"number": "1972668473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 S MCCALL RD",
"address_2": "UNIT D",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342234500",
"telephone_number": "941-474-3110",
"fax_number": "941-474-1306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S MCCALL RD",
"address_2": "UNIT D",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342234500",
"telephone_number": "941-474-3110",
"fax_number": "941-474-1306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSIOWORKS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2008-02-20",
"status": "A",
"authorized_official_last_name": "BARLETTA",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "941-497-1737",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MPH, PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT4313",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT3289",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.