Active NPI
Philip Lagamma
- Physical Therapist
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT33115
- 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
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 | 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitness Quest - Venice LLC | Physical Therapist | Current | Accepting new patients |
| Fitness Quest - Bradenton LLC | Current | Accepting new patients | |
| Fitness Quest-Port Charlotte LLC | Physical Therapist | Current | Accepting new patients |
| Fitness Quest - Venice LLC | Current | Accepting new patients | |
| Alpine Physical Therapy & Sports Care, P.C. | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Lakewood Ranch, FL
- NPI 1033129895
Physical Therapist
-
- Physical Therapy Clinic/Center
- Englewood, FL
- NPI 1528219631
-
- Physical Therapy Clinic/Center
- Port Charlotte, FL
- NPI 1679761696
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Longboat Key, FL
- NPI 1427936889
-
- Physical Therapy Clinic/Center
- Manchester, VT
- NPI 1972661197
Physical Therapist
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.