Sandy Brogan

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

PTA29316 Issued in FL

Practice address

4161 Tamiami Trail
Unit 704
Port Charlotte, FL 33952-9283

Phone

(941) 625-1110

NPI assigned

Oct 23, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Golden Touch Physical Therapy Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Port Charlotte, FL
  • NPI 1740229103
  NPD (past)

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1407499387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL STE 704",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529283",
            "telephone_number": "941-625-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRAIL",
            "address_2": "UNIT 704",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529283",
            "telephone_number": "941-625-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGAN",
        "first_name": "SANDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": "PTA29316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "goldentouchpt@embarqmail.com",
            "affiliation": "N",
            "address_1": "4161 Tamiami Trl Ste 704",
            "city": "Port Charlotte",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339529283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebeca Susana Bright, PSYD
• Brighter Living Group Homes LLC
• Lorena Brito Aragon
• Yamilet Brito
• Justin Gary Broadhead, CRNA
• Brookdale Senior Living Communities, Inc. (Brookdale Port Charlotte)
• Jeannette D Brooke
• Maria Brooks, PT
• Susan Rogers Brooks, D.D.S.
• Amy Brown, APRN

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.