Individual provider Active NPI

Robert Barrett, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1235804477
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114777 Issued in FL
Practice address
3902 Millenia Blvd
Orlando, FL 32839-6407
Phone
(407) 449-8620
Fax
(407) 205-1686
NPI assigned
Aug 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9114777 FL Primary

Addresses

Primary practice location

3902 Millenia Blvd
Orlando, FL 32839-6407

Mailing address

4211 W Boy Scout Blvd Ste 400
Tampa, FL 33607-5766
Phone (813) 443-2108

Other identifiers 1

IdentifierTypeStateIssuer
PA9114777OtherFLFLORIDA PHYSICIAN ASSISTANT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211218000109 FL Practitioner - Physician Assistant 5991196388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulfcoast Spine Institute, LLCGroup PAC ID 0749226215, 10 clinicians
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1119 Saxon Blvd
Suite Biospine
Orange City, FL 32763-8470
Phone (386) 261-9491

1200 Lexington Green LN
Sanford, FL 32771-1013

3902 Millenia Blvd
Suite Biospine
Orlando, FL 32839-6407
Phone (407) 449-8620

4211 W Boy Scout Blvd
Tampa, FL 33607-5766
Phone (813) 443-2108

439 S Florida Ave
Suite 300 Biospine Lakeland
Lakeland, FL 33801-5212
Phone (813) 443-2108

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfcoast Spine Institute, LLC CurrentSince Jun 1, 2024 Accepting new patients
Gulfcoast Spine Institute, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

2300 E Norvell Bryant Hwy
Hernando, FL 34442
Phone (352) 341-4778

3902 Millenia Blvd
Orlando, FL 32839
Phone (407) 449-8620

4211 W Boy Scout Blvd
Ste 400
Tampa, FL 33607
Phone (813) 443-2108

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1235804477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 W BOY SCOUT BLVD STE 400",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075766",
            "telephone_number": "813-443-2108",
            "fax_number": "813-443-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 MILLENIA BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396407",
            "telephone_number": "407-449-8620",
            "fax_number": "407-205-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA PHYSICIAN ASSISTANT LICENSE",
            "identifier": "PA9114777",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.