Individual provider Active NPI

Abraham T Markose, RPT

  • Orthopedic Physical Therapist
  • Holiday, FL
National Provider Identifier
1285668533
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT19582 Issued in FL
Practice address
5004 Mile Stretch Dr
Holiday, FL 34690-4431
Phone
(727) 785-8256
Fax
(727) 785-8946
NPI assigned
Jul 11, 2006
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT19582 FL Primary

Addresses

Primary practice location

5004 Mile Stretch Dr
Holiday, FL 34690-4431

Mailing address

PO Box 2165
Tarpon Springs, FL 34688-2165
Phone (727) 785-8256

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060815000119 FL Practitioner - Physical Therapist in Private Practice 9234132127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2626 Tampa Rd
Suite 203a
Palm Harbor, FL 34684-3111
Phone (727) 785-8256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Physical Therapy Inc. CurrentSince Aug 24, 2006 Accepting new patients

Locations

5004 Mile Stretch Dr
Holiday, FL 34690
Phone (727) 785-8256

2626 Tampa Rd
Ste 203A
Palm Harbor, FL 34684
Phone (727) 785-8256

Organizations & group practices 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1285668533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2165",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346882165",
            "telephone_number": "727-785-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 MILE STRETCH DR",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346904431",
            "telephone_number": "727-785-8256",
            "fax_number": "727-785-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOSE",
        "first_name": "ABRAHAM",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT19582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holiday, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.