Active NPI
Rick Minniear, P.T.
- Physical Therapist
- Leesburg, FL
National Provider Identifier
1346569209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5993
- Practice address
- 312 S Lake St
Leesburg, FL 34748-5934 - Phone
- (352) 314-9300
- Fax
- (352) 365-9667
- NPI assigned
- May 18, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5993 | FL | Primary |
Addresses
Primary practice location
312 S Lake St
Leesburg, FL 34748-5934
Mailing address
312 S Lake St
Leesburg, FL 34748-5934
Phone (352) 314-9300
Other practice location 1
2012 N Donnelly St
Mount Dora, FL 32757-2824
Phone (352) 729-3565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2012 N Donnelly St
Mount Dora, FL 32757-2824
Phone (352) 729-3565
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5993 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Dora Physical Therapy Specialists Inc | Physical Therapist | Current | Accepting new patients |
Locations
2012 N Donnelly St
Mount Dora, FL 32757
Phone (352) 729-3565
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Mount Dora, FL
- NPI 1336411065
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1346569209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 S LAKE ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347485934",
"telephone_number": "352-314-9300",
"fax_number": "352-365-9667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 S LAKE ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347485934",
"telephone_number": "352-314-9300",
"fax_number": "352-365-9667"
}
],
"practiceLocations": [
{
"address_1": "2012 N Donnelly St",
"address_purpose": "LOCATION",
"city": "Mount Dora",
"state": "FL",
"postal_code": "327572824",
"country_code": "US",
"telephone_number": "352-729-3565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINNIEAR",
"first_name": "RICK",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-18",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "5993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.