Active NPI
Elmer Brignoni, DPT
- Physical Therapist
- Tavares, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT27229
- Practice address
- 854 S Duncan Dr
Tavares, FL 32778-4044 - Phone
- (352) 205-6147
- Fax
- (352) 306-0571
- NPI assigned
- Mar 12, 2013
- Last updated
- Nov 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT27229 | FL | |
| Physical Therapist | 225100000X | PT27229 | FL | Primary |
Addresses
Primary practice location
854 S Duncan Dr
Tavares, FL 32778-4044
Mailing address
1011 Riviera Dr
Leesburg, FL 34748-6741
Phone (352) 205-6147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1945 Bay Rd
Mount Dora, FL 32757-2105
Phone (352) 483-5633
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nexgen Laser Pain & Rehab Centers | Physical Therapist | Current | Accepting new patients |
| Manoogian Orthopedic Center, P.a. | Physical Therapy | Current | Accepting new patients |
| Atlas Physical Fitness | Physical Therapy | Current | Accepting new patients |
Locations
1945 Bay Rd
Mount Dora, FL 32757
Phone (352) 383-2063
3900 Lake Center Dr
Ste 1
Mount Dora, FL 32757
Phone (352) 483-5633
854 S Duncan Dr
Tavares, FL 32778
Phone (352) 205-6147
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.
-
dba Total injury physical therapy and interventional pain management
- Physical Therapy Clinic/Center
- Tavares, FL
- NPI 1760208557
-
- Orthopaedic Surgery Physician
- Mount Dora, FL
- NPI 1205945763
Physical Therapy
-
- Interventional Pain Medicine Physician
- Tavares, FL
- NPI 1023815099
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1194066415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 RIVIERA DR",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347486741",
"telephone_number": "352-205-6147",
"fax_number": "352-306-0571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "854 S DUNCAN DR",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784044",
"telephone_number": "352-205-6147",
"fax_number": "352-306-0571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGNONI",
"first_name": "ELMER",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-12",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "PT27229",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT27229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.