Individual provider Active NPI

Khaled Temraz, PT

  • Physical Therapist
  • Punta Gorda, FL
National Provider Identifier
1053410134
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15960 Issued in FL
Practice address
312 Nesbit St
Suite 112
Punta Gorda, FL 33950-3828
Phone
(941) 639-8273
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT15960 FL Primary

Addresses

Primary practice location

312 Nesbit St
Suite 112
Punta Gorda, FL 33950-3828

Mailing address

23299 Duchess Ave
Port Charlotte, FL 33954-2551
Phone (941) 639-8273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060406000650 FL Practitioner - Physical Therapist in Private Practice 0446269120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

522 E Marion Ave
Suite 202
Punta Gorda, FL 33950-3803
Phone (941) 639-8273

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT15960FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeuticfx, LLC Physical Therapist CurrentSince Jan 4, 2021 Accepting new patients
Kamipractics, Inc. Physical Therapist CurrentSince Sep 21, 2005 Accepting new patients
Therapeuticfx, LLC Current Accepting new patients

Locations

1311 E Oak St
Arcadia, FL 34266
Phone (863) 491-7055

522 E Marion Ave
Ste 202
Punta Gorda, FL 33950
Phone (863) 491-7055

312 Nesbit St
Unit 112
Punta Gorda, FL 33950
Phone (941) 639-8273

522 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 637-1119

Organizations & group practices 3

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053410134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23299 DUCHESS AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542551",
            "telephone_number": "941-639-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 NESBIT ST",
            "address_2": "SUITE 112",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503828",
            "telephone_number": "941-639-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMRAZ",
        "first_name": "KHALED",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT15960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.