Jason Ipo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24832 Issued in FL

Practice address

4426 Bee Ridge Rd
Sarasota, FL 34233-2502

Phone

(941) 705-8184

NPI assigned

Jul 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Shoreline Clinic LLCGroup PAC ID 6507214061, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Shoreline Clinic, LLC

  • Physical Therapist
  • Sarasota, FL
  • NPI 1265118632
  Medicare reassignment Care Compare group NPD Authorized official
• Legacy Healthcare Services, Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1336535988
  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD
• Kamipractics, Inc.

  • Physical Therapist
  • Punta Gorda, FL
  • NPI 1497854541
  NPD (past)

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1306046560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332502",
            "telephone_number": "941-705-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4426 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332502",
            "telephone_number": "941-705-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPO",
        "first_name": "JASON",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24832",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "IN",
            "license": "05008930A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intellihealth, LLC
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• Intercoastal Medical Group Inc
• International Medical Laboratory Inc
• Bradley Bramante Inzalaco, MSNA, CRNA, APRN
• Mikka Ipri, RD
• Irecovery, LLC
• Jorge J Irizarry, AUD
• Isaac Zamora MD PA
• Isaac George Isaac, MD

• Physical Therapist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Physical Therapist in Florida

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