Individual provider Active NPI

Daniel William Komforti, PT, DPT

  • Physical Therapist
  • Winter Garden, FL
National Provider Identifier
1417560848
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36172 Issued in FL
Practice address
15504 Stoneybrook West Pkwy Ste 110
Winter Garden, FL 34787-4768
Phone
(407) 476-6613
NPI assigned
Aug 25, 2020
Reactivated
Jan 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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 PT36172 FL Primary

Addresses

Primary practice location

15504 Stoneybrook West Pkwy Ste 110
Winter Garden, FL 34787-4768

Mailing address

211 Ruskin St
Lake Mary, FL 32746-3513
Phone (646) 753-3106

Other practice location 1

5826 Hoffner Ave
Orlando, FL 32822-4806
Phone (407) 476-6613

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909002549 FL Practitioner - Physical Therapist in Private Practice 0648698571 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients

Locations

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

Interoperability endpoints

  • Direct secure messaging: dkomforti177449@orlandohealth.medalliesdirect.net

Organizations & group practices 2

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": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1417560848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 RUSKIN ST",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463513",
            "telephone_number": "646-753-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15504 STONEYBROOK WEST PKWY STE 110",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874768",
            "telephone_number": "407-476-6613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5826 Hoffner Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328224806",
            "country_code": "US",
            "telephone_number": "407-476-6613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMFORTI",
        "first_name": "DANIEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-25",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "deactivation_date": "2023-01-08",
        "reactivation_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.