Active NPI
Michael Desimone
- Physical Therapist
- Palm Harbor, FL
National Provider Identifier
1023784303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT37650
- Practice address
- 35095 US Highway 19 N Ste 101
Palm Harbor, FL 34684-1968 - Phone
- (727) 475-5540
- NPI assigned
- Aug 18, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT37650 | FL | Primary |
Addresses
Primary practice location
35095 US Highway 19 N Ste 101
Palm Harbor, FL 34684-1968
Mailing address
21756 State Road 54 Ste 102
Lutz, FL 33549-2905
Phone (727) 475-5540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1023784303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21756 STATE ROAD 54 STE 102",
"city": "LUTZ",
"state": "FL",
"postal_code": "335492905",
"telephone_number": "727-475-5540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35095 US HIGHWAY 19 N STE 101",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346841968",
"telephone_number": "727-475-5540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESIMONE",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT37650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.