Individual provider Active NPI

Luis Gustavo Oliveira, DPT

  • Physical Therapist
  • Clearwater, FL
National Provider Identifier
1063243772
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41901 Issued in FL
Practice address
1206 Court St
Clearwater, FL 33756-5802
Phone
(727) 286-8408
NPI assigned
Aug 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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 41901 FL Primary

Addresses

Primary practice location

1206 Court St
Clearwater, FL 33756-5802

Mailing address

6507 107TH Ter N
Pinellas Park, FL 33782-2432
Phone (708) 374-2758

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250718001331 FL Practitioner - Physical Therapist in Private Practice 1658887583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catalyst Physical Therapy PLLCGroup PAC ID 5597154401, 5 clinicians

Practice addresses (Care Compare)

1206 Court St
Clearwater, FL 33756-5802
Phone (727) 286-8408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41901FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Physical Therapy PLLC Physical Therapist Current Accepting new patients
Catalyst Physical Therapy PLLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients

Locations

1206 Court St
Clearwater, FL 33756
Phone (727) 286-8408

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.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1063243772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 107TH TER N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822432",
            "telephone_number": "708-374-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 COURT ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565802",
            "telephone_number": "727-286-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVEIRA",
        "first_name": "LUIS",
        "middle_name": "GUSTAVO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "41901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.