Individual provider Active NPI

David Nolen, PT, DPT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1275003089
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6920 N Dale Mabry Hwy
Tampa, FL 33614-3931
Phone
(813) 212-1120
NPI assigned
Dec 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 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 Primary

Addresses

Primary practice location

6920 N Dale Mabry Hwy
Tampa, FL 33614-3931

Mailing address

6920 N Dale Mabry Hwy
Tampa, FL 33614-3931

Other practice location 1

909 N Dale Mabry Hwy
Tampa, FL 33609-1251
Phone (813) 978-9700

Other practice location 2

5901 E Fowler Ave Ste 100
Temple Terrace, FL 33617-2305
Phone (813) 978-9700

Other practice location 3

1076 E Brandon Blvd Ste 106
Brandon, FL 33511-5534
Phone (813) 413-5513

Other identifiers 1

IdentifierTypeStateIssuer
PT34206OtherFLPT LISENCE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190118002785 FL Practitioner - Physical Therapist in Private Practice 2264779867 Reassigns benefits to 5 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
Group practices
The Performance Lab, LLCGroup PAC ID 2769951136, 5 clinicians

Practice addresses (Care Compare)

6920 N Dale Mabry Hwy
Tampa, FL 33614-3931
Phone (813) 212-1120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Performance Lab LLC CurrentSince Oct 12, 2025 Accepting new patients
Musculoskeletal Institute Chartered Current Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 25, 2021 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince May 16, 2022 Accepting new patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Dec 13, 2024 Accepting new patients
Optimal Performance and Physical Therapies-Brandon LLC Physical Therapist CurrentSince Dec 1, 2018 Accepting new patients
Tallahassee Orthopedic Clinic III PL CurrentSince Dec 13, 2024 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince May 16, 2022 Accepting new patients

Locations

1076 E Brandon Blvd
Ste 106
Brandon, FL 33511
Phone (813) 413-5513

611 W Lumsden Rd
Brandon, FL 33511
Phone (813) 413-5513

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

21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808

909 N Dale Mabry Hwy
Tampa, FL 33609
Phone (813) 287-9370

6920 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 212-1120

909 N Dale Mabry Hwy
Fl Orthopaedic
Tampa, FL 33609

13020 N Telecom Pkwy
Temple Terrace, FL 33637

5901 E Fowler Ave
Ste 100
Temple Terrace, FL 33617
Phone (813) 987-9700

13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1275003089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143931",
            "fax_number": "813-558-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143931",
            "telephone_number": "813-212-1120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 N Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336091251",
            "country_code": "US",
            "telephone_number": "813-978-9700",
            "fax_number": "813-558-6185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 E Fowler Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336172305",
            "country_code": "US",
            "telephone_number": "813-978-9700",
            "fax_number": "813-558-6185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1076 E Brandon Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115534",
            "country_code": "US",
            "telephone_number": "813-413-5513",
            "fax_number": "844-757-3726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLEN",
        "first_name": "DAVID",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-05",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LISENCE",
            "identifier": "PT34206",
            "state": "FL"
        }
    ],
    "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 Oct 8, 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.