Individual provider Active NPI

Kerry Dambrogio, DOM AP PT

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1194840876
Registry record updated Jun 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7373 Issued in FL
Practice address
7311 Merchant CT
Sarasota, FL 34240-8489
Phone
(941) 907-9250
Fax
(941) 907-8280
NPI assigned
Mar 20, 2007
Last updated
Jun 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP1549 FL
Physical Therapist 225100000X PT7373 FL Primary

Addresses

Primary practice location

7311 Merchant CT
Sarasota, FL 34240-8489

Mailing address

7311 Merchant CT
Sarasota, FL 34240-8489
Phone (941) 907-9250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150303002252 FL Practitioner - Physical Therapist in Private Practice 4688644594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7311 Merchant Court
Sarasota, FL 34240-8489

7311 Merchant CT
Lakewood Ranch, FL 34240-8489
Phone (941) 907-9250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Systems Acupuncturist CurrentSince Oct 19, 2000 Accepting new patients
Neuromuscular Therapy Center Inc Physical Therapist Past Accepting new patients

Locations

7311 Merchant Ct
Lakewood Ranch, FL 34240
Phone (941) 907-9250

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372464000000",
    "number": "1194840876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 MERCHANT CT",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408489",
            "telephone_number": "941-907-9250",
            "fax_number": "941-907-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 MERCHANT CT",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408489",
            "telephone_number": "941-907-9250",
            "fax_number": "941-907-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMBROGIO",
        "first_name": "KERRY",
        "credential": "DOM AP PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP1549",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT7373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 29, 2013; 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.