Individual provider Active NPI

Kenneth I Tribit, P.T.

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1407921968
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 19775 Issued in FL
Practice address
4964 Fruitville Rd
Sarasota, FL 34232-2261
Phone
(941) 706-1230
Fax
(941) 706-1173
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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 PT 19775 FL Primary

Addresses

Primary practice location

4964 Fruitville Rd
Sarasota, FL 34232-2261

Mailing address

4964 Fruitville Rd
Sarasota, FL 34232-2261
Phone (941) 706-1230

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070111000348 FL Practitioner - Physical Therapist in Private Practice 8022018266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nokomis Physical Therapy LLCGroup PAC ID 8628240843, 104 clinicians

Practice addresses (Care Compare)

109 Laurel Rd E
Nokomis, FL 34275-5233
Phone (941) 375-8734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 19775FLMDPhysical Therapist
19775FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nokomis Physical Therapy LLC Physical Therapist CurrentSince Oct 1, 2011 Accepting new patients
Advanced Physical Therapy of Palmetto Inc Physical Therapist Past Accepting new patients
Handworks Therapy, L.C. Physical Therapist PastSince Jul 1, 2000 Accepting new patients

Locations

1600 Englewood Rd
Englewood, FL 34223
Phone (941) 375-8734

109 Laurel Rd E
Nokomis, FL 34275
Phone (941) 375-8734

4964 Fruitville Rd
Sarasota, FL 34232
Phone (941) 706-1230

Organizations & group practices 3

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1407921968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4964 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322261",
            "telephone_number": "941-706-1230",
            "fax_number": "941-706-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4964 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322261",
            "telephone_number": "941-706-1230",
            "fax_number": "941-706-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIBIT",
        "first_name": "KENNETH",
        "middle_name": "I",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 19775",
            "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 19, 2011; 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.