Active NPI
Madapusi S Usha, P.T.
- Physical Therapist
- Fort Myers, FL
National Provider Identifier
1467586206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0011074
- Practice address
- 6710 Winkler Rd
Unit # 4
Fort Myers, FL 33919-7274 - Phone
- (239) 437-6620
- Fax
- (239) 437-6619
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0011074 | FL | Primary |
Addresses
Primary practice location
6710 Winkler Rd
Unit # 4
Fort Myers, FL 33919-7274
Mailing address
6710 Winkler Rd
Unit # 4
Fort Myers, FL 33919-7274
Phone (239) 437-6620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y0759 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6710 Winkler Rd
Suite 4
Fort Myers, FL 33919-7274
Phone (239) 437-6620
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0011074 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Rehabilitation Inc | Physical Therapist | Current | Accepting new patients |
| Mainstream Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
6710 Winkler Rd
Ste 4
Fort Myers, FL 33919
Phone (239) 437-6620
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.
-
- Physical Therapy Clinic/Center
- Fort Myers, FL
- NPI 1447384219
Physical Therapist
-
- Physical Therapist
- Fort Myers, FL
- NPI 1134292253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467586206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6710 WINKLER RD",
"address_2": "UNIT # 4",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339197274",
"telephone_number": "239-437-6620",
"fax_number": "239-437-6619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6710 WINKLER RD",
"address_2": "UNIT # 4",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339197274",
"telephone_number": "239-437-6620",
"fax_number": "239-437-6619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "USHA",
"first_name": "MADAPUSI",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT0011074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y0759",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.