NPIMap

Organization Active NPI

Platinum Healthcare Physical Medicine, PLLC

Doing business as Platinum Healthcare Physical Medicine

  • Physical Medicine & Rehabilitation Physician
  • Sarasota, FL
National Provider Identifier
1194012377
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME101995 Issued in FL
Legal business name
PLATINUM HEALTHCARE PHYSICAL MEDICINE, PLLC
Doing business as
Platinum Healthcare Physical Medicine
Practice address
5560 Bee Ridge Rd
Suite 7
Sarasota, FL 34233-1508
Phone
(941) 927-1123
Fax
(941) 927-1124
NPI assigned
Jul 7, 2011
Last updated
Jan 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Mrs. Tamara LoganNPI 1134336902
Title
Secretary
Phone
(941) 927-1123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X ME101995 FL Primary

Addresses

Primary practice location

5560 Bee Ridge Rd
Suite 7
Sarasota, FL 34233-1508

Mailing address

5560 Bee Ridge Rd
Suite 7
Sarasota, FL 34233-1508
Phone (941) 927-1123

Other names 1

  • Platinum Healthcare Physical Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1194012377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 BEE RIDGE RD",
            "address_2": "SUITE 7",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331508",
            "telephone_number": "941-927-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 BEE RIDGE RD",
            "address_2": "SUITE 7",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331508",
            "telephone_number": "941-927-1123",
            "fax_number": "941-927-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM HEALTHCARE PHYSICAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "941-927-1123",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME101995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Healthcare Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.