Individual provider Active NPI

Jose Carlos Duran

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1295533875
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42891 Issued in FL
Practice address
12705 Race Track Rd
Tampa, FL 33626-1314
Phone
(813) 343-3960
NPI assigned
Mar 7, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 42891 FL Primary

Addresses

Primary practice location

12705 Race Track Rd
Tampa, FL 33626-1314

Mailing address

3452 Gerber Daisy LN
Oviedo, FL 32766-6688
Phone (602) 819-7291

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250505000900 FL Practitioner - Physical Therapist in Private Practice 1052838026 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42891FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Westchase Physical Therapy and Medical Supply LLC Physical Therapist CurrentSince Apr 8, 2025 Accepting new patients
Westchase Physical Therapy and Medical Supply LLC Physical Therapist CurrentSince Apr 8, 2025 Accepting new patients

Locations

26224 US Highway 19 N
Clearwater, FL 33761
Phone (727) 221-7363

12705 Race Track Rd
Westchase, FL 33626
Phone (813) 343-3960

Organizations & group practices 2

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": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1295533875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3452 GERBER DAISY LN",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327666688",
            "telephone_number": "602-819-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12705 RACE TRACK RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261314",
            "telephone_number": "813-343-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN",
        "first_name": "JOSE",
        "middle_name": "CARLOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "42891",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.