Individual provider Active NPI

De'Jon Parker, DO

  • Physical Medicine & Rehabilitation Physician
  • South Miami, FL
National Provider Identifier
1104528868
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS21620 Issued in FL
Practice address
7000 SW 62ND Ave Ste 401
South Miami, FL 33143-4721
Phone
(305) 284-7761
NPI assigned
Mar 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS21620 FL Primary

Addresses

Primary practice location

7000 SW 62ND Ave Ste 401
South Miami, FL 33143-4721

Mailing address

7000 SW 62ND Ave Ste 401
South Miami, FL 33143-4721
Phone (305) 284-7761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251024000578 FL Practitioner - Physical Medicine and Rehabilitation 1658732953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1931 19TH PL
Vero Beach, FL 32960-3555

423 S Dr
Cleveland, OK 74020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS21620FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ballout International PLLC Physical Medicine & Rehabilitation CurrentSince Aug 15, 2025 Accepting new patients

Locations (25 of 74)

3355 E Semoran Blvd
Apopka, FL 32703
Phone (407) 862-6263

1130 NW 15th St
Boca Raton, FL 33486
Phone (561) 394-6282

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

2302 59th St W
Bradenton, FL 34209
Phone (941) 792-8480

3918 S Kings Ave
Brandon, FL 33511
Phone (813) 661-1535

2055 Palmetto St
Clearwater, FL 33765
Phone (727) 461-6613

1100 N Pine St
Clearwater, FL 33756
Phone (727) 442-7106

1775 Hooks St
Clermont, FL 34711
Phone (352) 717-7980

37135 Coleman Ave
Dade City, FL 33525
Phone (352) 567-8615

37300 Royal Oak Ln
Dade City, FL 33525
Phone (352) 567-3122

5430 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3188

870 Patricia Ave
Dunedin, FL 34698
Phone (727) 734-8861

7173 Cypress Dr
Fort Myers, FL 33907
Phone (239) 936-0203

8041 State Road 52
Hudson, FL 34667
Phone (727) 862-9559

5075 Innovation Way
Jupiter, FL 33458
Phone (561) 935-3002

4405 Lakewood Rd
Lake Worth Beach, FL 33461
Phone (561) 630-9321

4240 Lakeland Highlands Rd
Lakeland, FL 33813
Phone (863) 607-5948

3370 NW 47th Ter
Lauderdale Lakes, FL 33319
Phone (954) 733-0655

3033 Sarno Rd
Melbourne, FL 32934
Phone (321) 243-8593

251 E Florida Ave
Melbourne, FL 32901
Phone (321) 725-3900

101 E Florida Ave
Melbourne, FL 32901
Phone (321) 233-4028

2680 Croton Rd
Melbourne, FL 32935
Phone (321) 255-4783

1420 Oak St
Melbourne, FL 32901
Phone (321) 326-2300

1100 S Courtenay Pkwy
Merritt Island, FL 32952
Phone (321) 269-4240

14601 NE 16th Ave
North Miami, FL 33161
Phone (305) 701-9699

Interoperability endpoints

  • Direct secure messaging: dejon.parker@hca4.eclinicaldirectplus.com

Organizations & group practices 1

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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1104528868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE STE 401",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434721",
            "telephone_number": "305-284-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE STE 401",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434721",
            "telephone_number": "305-284-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DE'JON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS21620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.