Individual provider Active NPI

Jonathan Ryan Dugan, D.P.T., C.S.C.S.

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1164960191
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32308 Issued in FL
Practice address
14520 SW 8TH St
Miami, FL 33184-3132
Phone
(305) 752-0220
NPI assigned
Feb 9, 2017
Last updated
Feb 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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 PT32308 FL Primary

Addresses

Primary practice location

14520 SW 8TH St
Miami, FL 33184-3132

Mailing address

5850 SW 9TH Ter
West Miami, FL 33144-5015
Phone (321) 480-7465

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109001559 AZ Practitioner - Physical Therapist in Private Practice 4880937457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Florida International Univ, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relivagain4Lyf LLCGroup PAC ID 0143766303, 2 clinicians

Practice addresses (Care Compare)

10050 W Bell Rd
Suite 29
Sun City, AZ 85351-1290
Phone (623) 670-7985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PT32308FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Relivagain4Lyf LLC Physical Therapist CurrentSince Oct 10, 2025 Accepting new patients
Relivagain4Lyf LLC Physical Therapist CurrentSince Oct 10, 2025 Accepting new patients

Locations

4920 W Thunderbird Rd
Ste 120B
Glendale, AZ 85306
Phone (623) 226-5267

10050 W Bell Rd
Ste 29
Sun City, AZ 85351
Phone (623) 670-7985

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1164960191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 SW 9TH TER",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445015",
            "telephone_number": "321-480-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14520 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843132",
            "telephone_number": "305-752-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAN",
        "first_name": "JONATHAN",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.P.T., C.S.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.