Individual provider Active NPI

Natalie Rose Destefano, PT, DPT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1225833791
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42818 Issued in FL
Practice address
13801 Bruce B Downs Blvd Ste 303
Tampa, FL 33613-3939
Phone
(813) 979-4819
NPI assigned
Feb 18, 2025
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 42818 FL Primary

Addresses

Primary practice location

13801 Bruce B Downs Blvd Ste 303
Tampa, FL 33613-3939

Mailing address

4504 W Spruce St Apt Apt 627
Tampa, FL 33607-5789
Phone (732) 567-9154

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251223000424 FL Practitioner - Physical Therapist in Private Practice 9830684257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Rehabilitation, Inc.Group PAC ID 1355307398, 10 clinicians

Practice addresses (Care Compare)

13801 Bruce B Downs Blvd
Suite 303
Tampa, FL 33613-3939
Phone (813) 979-4819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42818FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Rehabilitation, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Pro-Active Physical Therapy, Inc. Physical Therapist CurrentSince Feb 23, 2025 Accepting new patients
Advanced Rehabilitation Inc Physical Therapist Past Accepting new patients

Locations

13801 Bruce B Downs Blvd
Ste 303
Tampa, FL 33613
Phone (813) 979-4819

4539 S Dale Mabry Hwy
Ste 110
Tampa, FL 33611
Phone (813) 250-1208

4357 Lynx Paw Trl
Valrico, FL 33596
Phone (813) 250-1208

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.

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1225833791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 W SPRUCE ST APT APT 627",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075789",
            "telephone_number": "732-567-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD STE 303",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133939",
            "telephone_number": "813-979-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTEFANO",
        "first_name": "NATALIE",
        "middle_name": "ROSE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "42818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.