Individual provider Active NPI

Donald Wasoff

  • Physical Therapist
  • Clearwater, FL
National Provider Identifier
1083378053
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37803 Issued in FL
Practice address
3700 Ulmerton Rd Ste 204
Clearwater, FL 33762-4235
Phone
(727) 490-8262
Fax
(727) 324-6595
NPI assigned
Oct 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 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 PT37803 FL Primary

Addresses

Primary practice location

3700 Ulmerton Rd Ste 204
Clearwater, FL 33762-4235

Mailing address

3700 Ulmerton Rd Ste 204
Clearwater, FL 33762-4235
Phone (727) 490-8262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211123000821 FL Practitioner - Physical Therapist in Private Practice 3779972245

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3700 Ulmerton Rd
Suite 204
Clearwater, FL 33762-4235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741996800000",
    "number": "1083378053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 ULMERTON RD STE 204",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337624235",
            "telephone_number": "727-490-8262",
            "fax_number": "727-324-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 ULMERTON RD STE 204",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337624235",
            "telephone_number": "727-490-8262",
            "fax_number": "727-324-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASOFF",
        "first_name": "DONALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-26",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37803",
            "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 Mar 15, 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.