Active NPI
Michael Ngo, PT
- Physical Therapist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 36154
- Practice address
- 4411 N Habana Ave
Tampa, FL 33614-7211 - Phone
- (813) 872-2771
- NPI assigned
- Sep 1, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 36154 | FL | Primary |
Addresses
Primary practice location
4411 N Habana Ave
Tampa, FL 33614-7211
Mailing address
4411 N Habana Ave
Tampa, FL 33614-7211
Phone (813) 872-2771
Other practice location 1
1111 S Highland Ave
Clearwater, FL 33756-4432
Phone (727) 446-0581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3201 1St St NE
St Petersburg, FL 33704-2205
Phone (727) 390-3675
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36154 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Creative Health Care Management LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Florida, LLC | Current | Accepting new patients | |
| Creative Health Care Management, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Florida, LLC | Physical Therapist | Current | Accepting new patients |
Locations
5762 SW 60th Ave
Ocala, FL 34474
Phone (352) 237-4544
765 W Grant St
Plant City, FL 33563
Phone (813) 743-3701
10 S 9th St
Ste 4
Noblesville, IN 46060
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
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 and National Provider Directory roles.
-
- Physical Therapist
- Coral Gables, FL
- NPI 1871972653
-
- Physical Therapist
- Bradenton, FL
- NPI 1790302164
-
- Multi-Specialty Clinic/Center
- Stuart, FL
- NPI 1184257602
Physical Therapist
-
- Rehabilitation Clinic/Center
- The Villages, FL
- NPI 1477245892
-
- Physical Therapist
- Kansas City, KS
- NPI 1033866975
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1093329674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 N HABANA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147211",
"telephone_number": "813-872-2771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 N HABANA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147211",
"telephone_number": "813-872-2771"
}
],
"practiceLocations": [
{
"address_1": "1111 S Highland Ave",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337564432",
"country_code": "US",
"telephone_number": "727-446-0581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGO",
"first_name": "MICHAEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-01",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "36154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.