Individual provider Active NPI

Robert Paul Zusman, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Port Charlotte, FL
National Provider Identifier
1053870899
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
OS20712 Issued in FL
Practice address
1641 Tamiami TRL Ste 1
Port Charlotte, FL 33948-1018
Phone
(941) 629-6262
Fax
(941) 629-1782
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X OS20712 FL Primary

Addresses

Primary practice location

1641 Tamiami TRL Ste 1
Port Charlotte, FL 33948-1018

Mailing address

6500 38TH Ave N
St Petersburg, FL 33710-1629

Other practice location 1

6500 38th Ave N
St Petersburg, FL 33710-1629
Phone (727) 341-4919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710001074 FL Practitioner - Physical Medicine and Rehabilitation 6608238423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Advanced Orthopedic Center of Charlotte County, PAGroup PAC ID 0042106528, 36 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1641 Tamiami TRL
Suite 1
Port Charlotte, FL 33948-1018
Phone (941) 629-6262

1940 Tamiami TRL
Suite 104
Port Charlotte, FL 33948-2105
Phone (941) 883-0083

Hospital & facility affiliations

  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
21278CAMDDentist
OS20712FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedic Center of Charlotte County, PA CurrentSince Aug 1, 2024 Accepting new patients
Advanced Orthopedic Center of Charlotte County, PA CurrentSince Aug 1, 2024 Accepting new patients

Locations

1641 Tamiami Trl
Ste 1
Pt Charlotte, FL 33948
Phone (941) 629-6262

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1053870899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 TAMIAMI TRL STE 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481018",
            "telephone_number": "941-629-6262",
            "fax_number": "941-629-1782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 38th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337101629",
            "country_code": "US",
            "telephone_number": "727-341-4919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUSMAN",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS20712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.