MR. ANTHONY PETER BASTOLLA (NPI# 1689705865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689705865 |
Entity Type | Individual |
Full Name | MR. ANTHONY PETER BASTOLLA |
Credential | MSPT |
Practice Address |
705 W State Road 434 Longwood FL 32750-4907 |
Mailing Address |
426 Oak Haven Dr Altamonte Springs FL 32701-6318 |
Practice Telephone | 4078316801 |
Mailing Telephone | 4073310986 |
Enumeration Date | 2007-03-08 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT20901 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
705 W STATE ROAD 434 |
City | LONGWOOD |
State | FL |
Zip Code | 32750-4907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740317569 | Valerie Rosania | Occupational Therapist | 705 W State Road 434, Suite F, Longwood, FL 32750-4907 | 2007-02-28 |
1326528324 | Catherine Morgan | Physical Medicine & Rehabilitation | 705 W State Road 434, Longwood, FL 32750-4907 | 2018-08-19 |
1225166507 | Paul Scott Morosky | Rehabilitation Practitioner | 705 W State Road 434, Longwood, FL 32750-4907 | 2007-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902420920 | Prn Speech Pathologists | Speech-Language Pathologist | 1704 N. Ronald Reagan Blvd, Longwood, FL 32750 | 2020-06-05 |
1831743368 | Shamar Anthony Marston | Nurse Anesthetist, Certified Registered | 555 W Fl - 434, Longwood, FL 32750 | 2019-08-01 |
1538639125 | Omega Healthcare Solutions, LLC | Case Management | 160 W. Evergreen Avenue Suite 290, Longwood, FL 32750 | 2018-11-27 |
1013416080 | Samantha Jane Roberts | Specialist/Technologist, Other | 163 W Bay Ave, Longwood, FL 32750 | 2018-02-06 |
1508375874 | Cassandra Thompson-bailey | Nurse Practitioner | 600 N Us Hwy 17 92, Suite 124, Longwood, FL 32750 | 2017-09-29 |
1740799535 | Cornerstone Longwood Leasing, LLC | Assisted Living Facility | 480 E. Church Ave., Longwood, FL 32750 | 2017-09-25 |
1659890523 | Melissa Shoshana Vigerito | Marriage & Family Therapist | 978 Douglas Ave. Suite 100, Altamonte Springs, FL 32750 | 2017-09-12 |
1619498185 | Calm Relief, LLC | Massage Therapist | 1855 W State Road 434, Ste 253, Longwood, FL 32750 | 2017-07-05 |
1497145148 | Caitlin Rhea Hilligas | Counselor | 300 N Ronald Reagan Blvd Ste 302, Longwood, FL 32750 | 2015-02-03 |
1316344054 | James David Rawlins Jr. | Dentist | 1250 W.s.r 434 Ste. 1008, Longwood, FL 32750 | 2014-11-24 |
Find all providers in zip 32750 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972612851 | Susan Carol Joseph | Physical Therapist | 2629 W Sr 434, Longwood, FL 32779-4878 | 2006-08-30 |
1437268315 | Daniel H Best | Physical Therapist | 2629 West State Road 434, Longwood, FL 32779-4878 | 2006-08-30 |
1851815765 | Roman Makarov | Physical Therapist | 765 W State Road 434, Longwood, FL 32750-4936 | 2017-08-01 |
1194824870 | Longwood Rehabilitative Services Inc | Physical Therapist | 2629 West State Road 434, Longwood, FL 32779-4878 | 2006-09-21 |
1740399625 | Michelle Lynn Applegate | Physical Therapist | 2629 W Sr 434, Longwood, FL 32779 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003422064 | Purpose Physical Therapy and Wellness, LLC | Physical Therapist | 3369 10th St N, St Petersburg, FL 33704-1205 | 2020-09-16 |
1114532074 | Rezalo Health & Performance | Physical Therapist | 27402 Bonterra Loop Apt 401, Wesley Chapel, FL 33544-5165 | 2020-09-08 |
1578173217 | Katherine Herzfeld | Physical Therapist | 2954 Mallory Cir Ste 110, Celebration, FL 34747-1820 | 2020-08-07 |
1447875331 | Janelle Marie Fleites | Physical Therapist | 6190 Sw 116th St, Pinecrest, FL 33156-4957 | 2020-06-16 |
1154944155 | University of Central Florida | Physical Therapist | 4098 Libra Dr Ste 114, Orlando, FL 32816-8026 | 2020-05-26 |
1164044590 | Prestige Health & Performance | Physical Therapist | 20354 Chestnut Grove Dr, Tampa, FL 33647-3344 | 2020-05-07 |
1295356491 | Complex Somi LLC | Physical Therapist | 5829 Sw 73rd St Ste 2, South Miami, FL 33143-5276 | 2020-04-29 |
1952939043 | Fix It Physical Therapy, LLC | Physical Therapist | 8262 Griffin Rd, Davie, FL 33328-3715 | 2020-04-01 |
1649806449 | Korbin Joseph Keene | Physical Therapist | 1053 Medical Center Dr Ste 151, Orange City, FL 32763-8261 | 2020-03-13 |
1740814391 | Jessy Chang | Physical Therapist | 8615 S Tamiami Trl # 1, Sarasota, FL 34238-3052 | 2020-02-22 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.