Organization Active NPI

Physio Med of Sarasota Inc

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1326127929
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSIO MED OF SARASOTA INC
Practice address
5766 Bronx Avenue
Suite B
Sarasota, FL 34231
Phone
(941) 925-8273
Fax
(941) 925-9027
NPI assigned
Nov 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Brandie P Sutphin, PT
Title
President
Phone
(941) 925-8273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

5766 Bronx Avenue
Suite B
Sarasota, FL 34231

Mailing address

5766 Bronx Avenue
Suite B
Sarasota, FL 34231
Phone (941) 925-8273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050315000203 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0547215337 Receives reassigned benefits from 2 practitioners
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

4165 Clark Rd
Sarasota, FL 34233

4165 Clark Rd
Ste D2
Sarasota, FL 34233
Phone (941) 925-8273

5766 Bronx Ave
#B
Sarasota, FL 34231
Phone (941) 921-1984

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326127929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5766 BRONX AVENUE",
            "address_2": "SUITE B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34231",
            "telephone_number": "941-925-8273",
            "fax_number": "941-925-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5766 BRONX AVENUE",
            "address_2": "SUITE B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34231",
            "telephone_number": "941-925-8273",
            "fax_number": "941-925-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO MED OF SARASOTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUTPHIN",
        "authorized_official_first_name": "BRANDIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-925-8273",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.