Individual provider Active NPI

Joseph Bryan Lipana, PT, DPT

  • Physical Therapist
  • Punta Gorda, FL
National Provider Identifier
1104298439
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20002 Issued in FL
Practice address
612 Royal Poinciana
Punta Gorda, FL 33955-1027
Phone
(941) 286-6068
NPI assigned
Oct 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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 PT20002 FL Primary

Addresses

Primary practice location

612 Royal Poinciana
Punta Gorda, FL 33955-1027

Mailing address

612 Royal Poinciana
Punta Gorda, FL 33955-1027
Phone (941) 286-6068

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160815001668 FL Practitioner - Physical Therapist in Private Practice 5890085047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

4130 Tamiami TRL
Suite 2
Port Charlotte, FL 33952-9207
Phone (941) 787-7100

900 Tamiami TRL
Unit 111
Punta Gorda, FL 33950-5513
Phone (941) 347-3650

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as individual
Quality
80
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Dec 5, 2025 Accepting new patients
Your Body Physical Therapy, LLC Physical Therapist CurrentSince Jul 1, 2016 Accepting new patients
Millennium Physician Group LLC CurrentSince Dec 5, 2025 Accepting new patients
Edge Physical Therapy Physical Therapist PastSince Jul 1, 2016 Accepting new patients

Locations

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

4130 Tamiami Trl
Ste 2
Port Charlotte, FL 33952
Phone (844) 287-2286

4130 Tamiami Trl
Ste 2ATT
Port Charlotte, FL 33952

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

900 Tamiami Trl
Unit 111
Punta Gorda, FL 33950
Phone (941) 286-6068

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1104298439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 ROYAL POINCIANA",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339551027",
            "telephone_number": "941-286-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 ROYAL POINCIANA",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339551027",
            "telephone_number": "941-286-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPANA",
        "first_name": "JOSEPH",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.