Individual provider Active NPI

Dana Erin Bronsord, PT

  • Physical Therapist
  • Fort Myers Beach, FL
National Provider Identifier
1174612956
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29142 Issued in FL
Practice address
11400 Summerlin Square Dr
Fort Myers Beach, FL 33931-5300
Phone
(301) 774-0624
NPI assigned
Oct 12, 2006
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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 PT29142 FL Primary

Addresses

Primary practice location

11400 Summerlin Square Dr
Fort Myers Beach, FL 33931-5300

Mailing address

11400 Summerlin Square Dr
Fort Myers Beach, FL 33931-5300

Other practice location 1

7205 Estero Blvd Unit 5
Fort Myers Beach, FL 33931-4786
Phone (239) 314-5118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031202000061 MD Practitioner - Physical Therapist in Private Practice 4981509114 Reassigns benefits to 1 organization
I20141216001830 FL Practitioner - Physical Therapist in Private Practice 4981509114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Islandfit Physical Therapy and Wellness LLCGroup PAC ID 9436472875, 6 clinicians

Practice addresses (Care Compare)

7205 Estero Blvd
Suite 5
Fort Myers Beach, FL 33931-4786
Phone (240) 888-1956

Merit-based Incentive Payment System (MIPS)

Final score
83.45 of 100Reported as group
Quality
85
Improvement activities
40
Cost
64.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT29142FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Islandfit Physical Therapy and Wellness LLC CurrentSince Oct 1, 2014 Accepting new patients
Islandfit Physical Therapy and Wellness LLC CurrentSince Aug 15, 2014 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 1, 2013 Accepting new patients

Locations

11400 Summerlin Square Dr
Fort Myers Beach, FL 33931
Phone (239) 314-5118

7205 Estero Blvd
Unit 5
Fort Myers Beach, FL 33931
Phone (239) 314-5118

7205 Estero Blvd
#5
Ft Myers Bch, FL 33931
Phone (240) 888-1956

10700 Charter Dr
Ste 100
Columbia, MD 21044
Phone (301) 774-0500

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

Organizations & group practices 3

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1174612956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 SUMMERLIN SQUARE DR",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339315300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 SUMMERLIN SQUARE DR",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339315300",
            "telephone_number": "301-774-0624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7205 Estero Blvd Unit 5",
            "address_purpose": "LOCATION",
            "city": "Fort Myers Beach",
            "state": "FL",
            "postal_code": "339314786",
            "country_code": "US",
            "telephone_number": "239-314-5118",
            "fax_number": "239-314-5119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRONSORD",
        "first_name": "DANA",
        "middle_name": "ERIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.