Individual provider Active NPI

Michael Tablizo Tabo, DPT

  • Orthopedic Physical Therapist
  • Oviedo, FL
National Provider Identifier
1437381092
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT33761 Issued in FL
Practice address
1000 W Broadway St
Oviedo, FL 32765-9260
Phone
(321) 841-3760
Fax
(321) 841-3232
NPI assigned
Aug 17, 2009
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT33761 FL
Orthopedic Physical Therapist 2251X0800X PT33761 FL Primary

Addresses

Primary practice location

1000 W Broadway St
Oviedo, FL 32765-9260

Mailing address

1000 W Broadway St
Oviedo, FL 32765-9260
Phone (321) 841-3760

Other identifiers 2

IdentifierTypeStateIssuer
3437OtherNVSTATE OF NV PT LICENSE NUMBER
PT-33761OtherFLSTATE OF FL PT LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091110000260 FL Practitioner - Physical Therapist in Private Practice 9133267289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Miami, LM Miller School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1000 W Broadway St
Oviedo, FL 32765-9260
Phone (407) 298-6950

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Aug 19, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 19, 2024 Accepting new patients
Matrix Rehabilitation-Texas, Inc. Past Accepting new patients
Matrix Rehabilitation - Texas, Inc. Past Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1000 W Broadway St
Oviedo, FL 32765
Phone (407) 359-6000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1437381092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W BROADWAY ST",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659260",
            "telephone_number": "321-841-3760",
            "fax_number": "321-841-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W BROADWAY ST",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659260",
            "telephone_number": "321-841-3760",
            "fax_number": "321-841-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABO",
        "first_name": "MICHAEL",
        "middle_name": "TABLIZO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-17",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33761",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT33761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NV PT LICENSE NUMBER",
            "identifier": "3437",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FL PT LICENSE NUMBER",
            "identifier": "PT-33761",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.