Philip James Nanula Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40424 Issued in FL

Practice address

14580 Tamiami TRL Unit D&E
North Port, FL 34287-2708

Phone

(941) 200-2570

Fax

(941) 218-5627

NPI assigned

Sep 21, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Therapy Florida LLCGroup PAC ID 5395091722, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Buffalo Rehab Group Physical Therapy and Occupational Therapy PC

  • Physical Therapist
  • West Seneca, NY
  • NPI 1548290943
  Medicare reassignment NPD
• Total Therapy Florida, LLC

  • Physical Medicine & Rehabilitation Physician
  • Venice, FL
  • NPI 1598270407

  Physical Therapist

  Care Compare group NPD (past)
• Total Therapy Florida LLC

  • Physical Medicine & Rehabilitation Physician
  • North Port, FL
  • NPI 1144067877
  NPD

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1205442563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14580 TAMIAMI TRL UNIT D&E",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872708",
            "telephone_number": "941-200-2570",
            "fax_number": "941-218-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14580 TAMIAMI TRL UNIT D&E",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872708",
            "telephone_number": "941-200-2570",
            "fax_number": "941-218-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANULA",
        "first_name": "PHILIP",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-21",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046113",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "40424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06313024",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Murphy, FNP-C
• Barbara L. Musgrove
• Jennifer Musselman
• Myle FL LLC
• Erica Nabers, AP
• Jessica Nelson
• Latai'Ja Nelson
• Marilee Linda Nelson, COTA
• Neo Doc of SWFL PA
• Neo Home Health Care, LLC

• Physical Therapist in North Port, FL
• Providers in North Port, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.