Individual provider Active NPI

Antony Girgis, DPT

  • Physical Therapist
  • Ocoee, FL
National Provider Identifier
1265917462
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34051 Issued in FL
Practice address
1181 Blackwood Ave
Ocoee, FL 34761-4518
Phone
(407) 292-0073
Fax
(407) 292-9666
NPI assigned
Oct 3, 2018
Last updated
Oct 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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 PT34051 FL Primary

Addresses

Primary practice location

1181 Blackwood Ave
Ocoee, FL 34761-4518

Mailing address

1181 Blackwood Ave
Ocoee, FL 34761-4518
Phone (407) 292-0073

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191018000962 FL Practitioner - Physical Therapist in Private Practice 7113258328 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

701 E State Rd
434 Suite 1061
Orlando, FL 32708-2701
Phone (407) 734-1008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34051FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Themobilept PLLC Physical Therapist CurrentSince Aug 22, 2020 Accepting new patients
Joint Regeneration and Rehabilitation Center LLC Physical Therapist CurrentSince Oct 7, 2019 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 6, 2025 Accepting new patients

Locations

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

9685 Lake Nona Village Pl
Ste 205
Orlando, FL 32827
Phone (407) 627-1148

701 E State Road 434
Ste 1061
Winter Springs, FL 32708
Phone (407) 452-4027

Networks

  • Freedom Health HMO Network

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": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1265917462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 BLACKWOOD AVE",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614518",
            "telephone_number": "407-292-0073",
            "fax_number": "407-292-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 BLACKWOOD AVE",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614518",
            "telephone_number": "407-292-0073",
            "fax_number": "407-292-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRGIS",
        "first_name": "ANTONY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.