Individual provider Active NPI

Chad Ranninger, PTA

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Port Charlotte, FL
National Provider Identifier
1033632567
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
PTA27606 Issued in FL
Practice address
4161 Tamiami TRL Ste 704
Port Charlotte, FL 33952-9283
Phone
(941) 625-1110
Fax
(941) 625-0552
NPI assigned
Jul 17, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X PTA27606 FL Primary

Addresses

Primary practice location

4161 Tamiami TRL Ste 704
Port Charlotte, FL 33952-9283

Mailing address

4161 Tamiami TRL Ste 704
Port Charlotte, FL 33952-9283

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA27606FLMDComprehensive Outpatient Rehabilitation Facility (CORF)

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Touch Physical Therapy Inc Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (Corf) Past Accepting new patients

Organizations & group practices 1

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": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1033632567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL STE 704",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL STE 704",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529283",
            "telephone_number": "941-625-1110",
            "fax_number": "941-625-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANNINGER",
        "first_name": "CHAD",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": "PTA27606",
            "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 Jul 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.