Individual provider Active NPI

Stephanie Leigh Savino-Pecoraro, P.T.

  • Physical Therapist
  • Port Charlotte, FL
National Provider Identifier
1083253009
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34912 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
Dec 23, 2019
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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 PT34912 FL Primary

Addresses

Primary practice location

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

Mailing address

823 Lacey Rd
Forked River, NJ 08731-1203
Phone (609) 693-5055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200124001468 FL Practitioner - Physical Therapist in Private Practice 2466887237 Reassigns benefits to 1 organization
I20250131002669 NJ Practitioner - Physical Therapist in Private Practice 2466887237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Physical Therapy CenterGroup PAC ID 8820168123, 117 clinicians

Practice addresses (Care Compare)

823 Lacey Rd
Forked River, NJ 08731-1203
Phone (609) 693-5055

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34912FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedic Center of Charlotte County, PA CurrentSince Dec 23, 2019 Accepting new patients
Advanced Orthopedic Center of Charlotte County, PA CurrentSince Dec 23, 2019 Accepting new patients
Atlantic Physical Therapy Center CurrentSince Jan 6, 2025 Accepting new patients
Atlantic Physical Therapy Center Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Fitness Quest - Venice LLC Physical Therapist PastSince May 15, 2024 Accepting new patients
Seashore Pediatric Therapy Center PC Past Accepting new patients

Locations

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

823 Lacey Rd
Forked River, NJ 08731
Phone (609) 693-4484

1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800

1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 784-6545

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1083253009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311203",
            "telephone_number": "609-693-5055"
        },
        {
            "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": [],
    "basic": {
        "last_name": "SAVINO-PECORARO",
        "first_name": "STEPHANIE",
        "middle_name": "LEIGH",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34912",
            "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 Jan 28, 2025; 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.