Eric Pecoraro

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT34901 Issued in FL

Practice address

1649 Tamiami TRL Ste 1a
Port Charlotte, FL 33948-1019

Phone

(941) 743-6700

Fax

(941) 743-6707

NPI assigned

Aug 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

New York Medical College, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Physical Therapy CenterGroup PAC ID 8820168123, 117 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Atlantic Physical Therapy Center

  • Orthopedic Physical Therapist
  • Toms River, NJ
  • NPI 1801857917
  Medicare reassignment Care Compare group NPD
• Atlantic Physical Therapy Center

  • Hand Occupational Therapist
  • Oakhurst, NJ
  • NPI 1659945228
  NPD
• Fitness Quest - Venice LLC

  • Physical Therapy Clinic/Center
  • Lakewood Ranch, FL
  • NPI 1033129895

  Physical Therapist

  NPD (past)
• Seashore Pediatric Therapy Center PC

  • Multi-Specialty Clinic/Center
  • Manahawkin, NJ
  • NPI 1396277083
  NPD (past)

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1295381739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 TAMIAMI TRL STE 1A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481019",
            "telephone_number": "941-743-6700",
            "fax_number": "941-743-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 TAMIAMI TRL STE 1A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481019",
            "telephone_number": "941-743-6700",
            "fax_number": "941-743-6707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11045 Tamiami Trl S",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342871072",
            "country_code": "US",
            "telephone_number": "941-275-6377",
            "fax_number": "866-721-4334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2828 S McCall Rd Ste 25",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "FL",
            "postal_code": "342249517",
            "country_code": "US",
            "telephone_number": "941-474-2700",
            "fax_number": "941-474-8081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 E Olympia Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339503838",
            "country_code": "US",
            "telephone_number": "941-575-7300",
            "fax_number": "941-505-7301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2530 Bobcat Village Center Rd Unit C",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342888475",
            "country_code": "US",
            "telephone_number": "941-426-7400",
            "fax_number": "941-426-7044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECORARO",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-12",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlopez@fitnessquestpt.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "4161 Tamiami Trl Ste 103",
            "city": "Port Charlotte",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339529204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peace River Hma Nursing Center Inc
• Peace River Physical Therapy & Rehabilitation, LLC
• Peace River Surgery Center
• Peachland Chiropractic Health LLC
• Olena Pease, CRNA
• Pediatric Dentistry of Port Charlotte
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida Inc
• Alexander Pedraza
• Margaret A Pedraza

• Physical Therapist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.