Jonathan Dubbaneh, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

25514 Issued in FL

Practice address

2888 Ringling Blvd Unit CD
Sarasota, FL 34237-5331

Phone

(941) 413-5100

Fax

(941) 388-7292

NPI assigned

Mar 29, 2021

Last updated

Mar 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21758/brand/1/csg/1/fhir/r4

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.

• Pathway PT LLC

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1508546557
  NPD
• Sarasota Healthcare 168 LLC

  dba Team Med Health

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1114553963
  NPD

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1144808536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 BANYAN TREE PL",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783039",
            "telephone_number": "941-268-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 RINGLING BLVD UNIT CD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375331",
            "telephone_number": "941-413-5100",
            "fax_number": "941-388-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBBANEH",
        "first_name": "JONATHAN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "25514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS Fessenden & Carr PA
• DRS. Chasolen & Chasolen, P.a.
• Yoel Drucker, MD
• Mark J Druskat, DDS
• Dry Eye Clinic of Sarasota Ollc
• Michael Dubi, ED.D.
• Joanna Barker Dubois
• Pablo Gabriel Dubon, MD
• Dubose & Associates Nutrition Management Company
• Richard S Duckworth, MD

• Physical Therapy Assistant in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.