Individual provider Active NPI

John Anthony Lumampao Sobrevega, PT

  • Physical Therapist
  • Temple Terrace, FL
National Provider Identifier
1013392109
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42234 Issued in FL
Practice address
5901 E Fowler Ave Ste 100
Temple Terrace, FL 33617-2305
Phone
(813) 978-9700
NPI assigned
Jul 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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 037071 NY
Physical Therapist 225100000X PT42234 FL Primary

Addresses

Primary practice location

5901 E Fowler Ave Ste 100
Temple Terrace, FL 33617-2305

Mailing address

5901 E Fowler Ave Ste 100
Temple Terrace, FL 33617-2305
Phone (813) 978-9700

Other practice location 1

27227 State Road 56
Wesley Chapel, FL 33544-8832
Phone (813) 991-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160516002250 NY Practitioner - Physical Therapist in Private Practice 5193014074 Reassigns benefits to 3 organizations
I20250805001366 FL Practitioner - Physical Therapist in Private Practice 5193014074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Orthopedic Clinic III PLGroup PAC ID 4284532755, 538 clinicians

Practice addresses (Care Compare)

5901 E Fowler Ave
Suite 100
Temple Terrace, FL 33617-2305
Phone (813) 978-9700

Merit-based Incentive Payment System (MIPS)

Final score
77.16 of 100Reported as group
Quality
70
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Musculoskeletal Institute Chartered Current Accepting new patients
Musculoskeletal Institute Chartered CurrentSince Aug 25, 2025 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Apr 9, 2016 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Jul 19, 2021 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince Aug 25, 2025 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist CurrentSince Mar 10, 2024 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Mar 10, 2024 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Jul 19, 2021 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Apr 9, 2016 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
Tallahassee Orthopedic Clinic III PL CurrentSince Aug 25, 2025 Accepting new patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Aug 25, 2025 Accepting new patients

Locations

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808

13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

5901 E Fowler Ave
Ste 100
Temple Terrace, FL 33617
Phone (813) 987-9700

2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

710 Parkside Ave
#1
Brooklyn, NY 11226
Phone (718) 282-7880

710 Parkside Ave
Brooklyn, NY 11226
Phone (718) 282-7800

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

576 Broadhollow Rd
Melville, NY 11747

3 Huntington Quadrangle
Ste 103N
Melville, NY 11747
Phone (516) 474-2816

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: john.sobrevega.1@18802.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1013392109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 E FOWLER AVE STE 100",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172305",
            "telephone_number": "813-978-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 E FOWLER AVE STE 100",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172305",
            "telephone_number": "813-978-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27227 State Road 56",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335448832",
            "country_code": "US",
            "telephone_number": "813-991-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOBREVEGA",
        "first_name": "JOHN ANTHONY",
        "middle_name": "LUMAMPAO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-30",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037071",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.