PRACTITIONERS AT HOME DIRECT LLC (NPI# 1760730212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760730212 |
| Entity Type | Organization |
| Organization Name | PRACTITIONERS AT HOME DIRECT LLC |
| Practice Address |
1533 4th Ave W Bradenton FL 34205-5949 |
| Practice Telephone | 9417488400 |
| Practice Fax Number | 9417488440 |
| Mailing Telephone | 9417488400 |
| Mailing Fax Number | 9417488440 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2015-10-06 |
| Authorized Official Name | DR. ANTHONY MONTANARO (MGR) |
| Authorized Official Telephone | 9417488400 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME0067842 | FL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | OS9181 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1533 4TH AVE W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34205-5949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992755904 | Jacqueline A Bik | Internal Medicine | 1533 4th Ave W, Bradenton, FL 34205-5949 | 2006-05-11 |
| 1962029082 | Tessa Dykes | Physical Therapy Assistant | 1533 4th Ave W, Bradenton, FL 34205-5949 | 2020-07-06 |
| 1760963789 | Mark Garret Farinas | Physical Medicine & Rehabilitation | 1533 4th Ave W, Bradenton, FL 34205-5949 | 2018-08-27 |
| 1285759555 | Jamie Marie Martin | Occupational Therapist | 1533 4th Ave W, Bradenton, FL 34205-5949 | 2007-03-19 |
| 1033216015 | Anthony J Montanaro | Family Medicine | 1533 4th Ave W, Bradenton, FL 34205-5949 | 2006-09-20 |
| 1912015520 | Mcr Health, Inc. | Family Medicine | 1533 4th Ave W, Suite A, Bradenton, FL 34205-5949 | 2006-08-25 |
| 1376587550 | Presbyterian Retirement Communities, Inc. | Skilled Nursing Facility | 1533 4th Ave W, Bradenton, FL 34205-5949 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
| 1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
| 1437519402 | Kenneth G Bannister | Massage Therapist | 302 26th Avenue East, Apt 101, Bradenton, FL 34205 | 2016-03-03 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1275803017 | Jennifer Geanne Washington | Massage Therapist | 1901 9th Ave W, Bradenton, FL 34205 | 2012-01-11 |
| 1629352745 | Susan K Stone | Acupuncturist | 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 | 2011-10-07 |
| 1588957609 | Palma Sola Therapies LLC | Physical Medicine & Rehabilitation | 515 36th St., Suite D, Bradenton, FL 34205 | 2011-05-23 |
| 1023254836 | Halle Kranz | Counselor | 239 301 Blvd W, Bradenton, FL 34205 | 2008-12-29 |
| 1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
| 1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
| Find all providers in zip 34205 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797737 | Rhc Bradenton LLC | Family Medicine | 4502 Cortez Rd W Ste 301a, Bradenton, FL 34210-3124 | 2020-10-13 |
| 1265075261 | Lifestream Family Medicine P.a. | Family Medicine | 1957 Worth Court, Bradenton, FL 34211 | 2019-10-22 |
| 1386201408 | Amado Castellon | Family Medicine | 822 62nd Street Cir E Ste 102, Bradenton, FL 34208-6208 | 2019-05-23 |
| 1316410475 | Open Access Urgent Care | Family Medicine | 1838 Rye Rd Ste 107, Bradenton, FL 34212-9038 | 2019-01-10 |
| 1699219113 | Lakewood Ranch Primary Care Associates | Family Medicine | 822 62nd Street Cir E, Suite 102, Bradenton, FL 34208-6208 | 2016-12-19 |
| 1346633708 | Cortez Knee and Sports Medicine, LLC | Family Medicine | 6203 Cortez Rd W, Bradenton, FL 34210-2602 | 2015-03-10 |
| 1699163808 | Florida Medical Specialists LLC | Family Medicine | 6110 State Road 70 East, Bradenton, FL 34203 | 2014-12-23 |
| 1679984561 | Ofelia Alessandra Lopez | Family Medicine | 1911 83rd St Nw, Bradenton, FL 34209-9753 | 2014-05-13 |
| 1558655191 | Victor Lee Kim | Family Medicine | 8614 E State Road 70 Ste 200, Bradenton, FL 34202-3710 | 2011-05-31 |
| 1255663126 | Mcr Health, Inc. | Family Medicine | 1649 1st St, Bradenton, FL 34208-3231 | 2010-02-03 |
| Find all providers in BRADENTON | ||||
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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.