Individual provider Active NPI

Neal A Isaac, DPT

  • Physical Therapist
  • Saint Augustine Beach, FL
National Provider Identifier
1427316082
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27272 Issued in FL
Practice address
2085 A1A S Ste 105
Saint Augustine Beach, FL 32080-6505
Phone
(904) 689-3336
Fax
(904) 779-3213
NPI assigned
May 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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 27272 FL Primary

Addresses

Primary practice location

2085 A1A S Ste 105
Saint Augustine Beach, FL 32080-6505

Mailing address

2085 A1A S Ste 105
Saint Augustine Beach, FL 32080-6505
Phone (904) 689-3336

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130424000378 FL Practitioner - Physical Therapist in Private Practice 8921244724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Isaac Physical Therapy LLCGroup PAC ID 5496299836, 2 clinicians

Practice addresses (Care Compare)

2180 A1A
Suite 100
St Augustine, FL 32080-6523
Phone (904) 689-3336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27272FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Isaac Physical Therapy LLC Physical Therapist CurrentSince Jan 29, 2018 Accepting new patients
First Coast Physical Therapy Inc Physical Therapist PastSince Sep 1, 2006 Accepting new patients
Deprey Chiropractic PA PastSince Apr 1, 2024 Accepting new patients

Locations

2180 A1A S
Ste 100
St Augustine, FL 32080
Phone (904) 471-2225

2085 A1A S
Ste 105
St Augustine Beach, FL 32080
Phone (904) 689-3336

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": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1427316082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 A1A S STE 105",
            "city": "SAINT AUGUSTINE BEACH",
            "state": "FL",
            "postal_code": "320806505",
            "telephone_number": "904-689-3336",
            "fax_number": "904-779-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 A1A S STE 105",
            "city": "SAINT AUGUSTINE BEACH",
            "state": "FL",
            "postal_code": "320806505",
            "telephone_number": "904-689-3336",
            "fax_number": "904-779-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "NEAL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-01",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "27272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.