Individual provider Active NPI

Philip Lagamma

  • Physical Therapist
  • Port Charlotte, FL
National Provider Identifier
1003222183
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33115 Issued in FL
Practice address
1649 Tamiami TRL Ste 1a
Port Charlotte, FL 33948-1019
Phone
(941) 743-6700
NPI assigned
Jul 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 037689 NY
Physical Therapist 225100000X PT33115 FL Primary

Addresses

Primary practice location

1649 Tamiami TRL Ste 1a
Port Charlotte, FL 33948-1019

Mailing address

1649 Tamiami TRL Ste 1a
Port Charlotte, FL 33948-1019
Phone (941) 743-6700

Other practice location 1

370 Elwood Ave
Suite 101
Hawthorne, NY 10532-1258
Phone (914) 769-7690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180201002293 FL Practitioner - Physical Therapist in Private Practice 0648491605 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mercy College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fitness Quest - Venice LLCGroup PAC ID 9739125964, 44 clinicians

Practice addresses (Care Compare)

400 Tamiami TRL S
Suite 210
Venice, FL 34285-2626
Phone 87746937782004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fitness Quest - Venice LLC Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients
Fitness Quest - Bradenton LLC CurrentSince Nov 20, 2017 Accepting new patients
Fitness Quest-Port Charlotte LLC Physical Therapist CurrentSince Nov 20, 2017 Accepting new patients
Fitness Quest - Venice LLC CurrentSince Feb 1, 2025 Accepting new patients
Alpine Physical Therapy & Sports Care, P.C. Physical Therapist PastSince May 14, 2014 Accepting new patients

Locations

3657 Cortez Rd W
Ste 110
Bradenton, FL 34210
Phone (941) 361-9020

2828 S McCall Rd
Ste 25
Englewood, FL 34224
Phone (941) 460-6174

4161 Tamiami Trl
Ste 103
Pt Charlotte, FL 33952
Phone (941) 743-6700

1649 Tamiami Trl
Ste 1A
Pt Charlotte, FL 33948
Phone (941) 743-6700

400 Tamiami Trl S
Ste 210
Venice, FL 34285
Phone (877) 469-3778

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1003222183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 TAMIAMI TRL STE 1A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481019",
            "telephone_number": "941-743-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 TAMIAMI TRL STE 1A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481019",
            "telephone_number": "941-743-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 Elwood Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "NY",
            "postal_code": "105321258",
            "country_code": "US",
            "telephone_number": "914-769-7690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGAMMA",
        "first_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037689",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.