Pieter H. Tepaske

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0007476 Issued in FL

Practice address

2530 Bobcat Village Center Rd Unit C
North Port, FL 34288

Phone

(941) 426-7400

Fax

(941) 426-7044

NPI assigned

Mar 2, 2007

Last updated

Dec 3, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phyziopro LLCGroup PAC ID 3375958333, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phyziopro LLC

  • Physical Therapist
  • Venice, FL
  • NPI 1902496318
  Medicare reassignment Care Compare group NPD
• 65 Plus LLC

  dba 65 Plus Physical Therapy - Country Club Physical Therapy

  • Geriatric Physical Therapist
  • Venice, FL
  • NPI 1205292489
  Medicare reassignment NPD
• Heather Rush

  • Physical Therapy Assistant
  • Eustis, FL
  • NPI 1568863645
  NPD
• Physio Med Inc

  • Rehabilitation Clinic/Center
  • Eustis, FL
  • NPI 1720096720
  NPD
• Abe Rehabilitation Services PA

  • Physical Therapist
  • Sarasota, FL
  • NPI 1588899587
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1417085069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3657 CORTEZ RD W STE 110",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103171",
            "telephone_number": "941-544-5060",
            "fax_number": "941-426-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 BOBCAT VILLAGE CENTER RD UNIT C",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "34288",
            "telephone_number": "941-426-7400",
            "fax_number": "941-426-7044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Eustis",
            "state": "FL",
            "postal_code": "327266523",
            "country_code": "US",
            "telephone_number": "352-589-5595",
            "fax_number": "352-589-5747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEPASKE",
        "first_name": "PIETER",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "0007476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Tapia
• Markeisa Tassy
• Candice Chantracy Tatum
• Elyse Taylor, RN
• Theresa Louise Monica Taylor, LSW
• Teri J Michel (PRANA Massage & Ayurveda)
• Nicole Teter
• The Florida Center for Early Childhood
• Terisha Theodat
• Therapeutic Hope

• Physical Therapist in North Port, FL
• Providers in North Port, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.