Active NPI
Michael Raiman, DPT
- Physical Therapist
- Jacksonville, FL
National Provider Identifier
1194190140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT27835
- Practice address
- 800 Prudential Dr
Jacksonville, FL 32207-8202 - Phone
- (904) 202-2000
- NPI assigned
- Dec 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT27835 | FL | Primary |
Addresses
Primary practice location
800 Prudential Dr
Jacksonville, FL 32207-8202
Mailing address
4460 Hodges Blvd Apt 422
Jacksonville, FL 32224-5205
Phone (386) 847-0813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT27835 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1194190140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4460 HODGES BLVD APT 422",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322245205",
"telephone_number": "386-847-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PRUDENTIAL DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078202",
"telephone_number": "904-202-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAIMAN",
"first_name": "MICHAEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-02",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT27835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.