Active NPI
Dexter Penaranda
- Physical Therapist
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 5820 Harborage Dr
Fort Myers, FL 33908-4549 - Phone
- (239) 462-2278
- NPI assigned
- Jul 2, 2007
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
5820 Harborage Dr
Fort Myers, FL 33908-4549
Mailing address
5820 Harborage Dr
Fort Myers, FL 33908-4549
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19144 | Other | FL | LICENSE# |
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, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6150 Diamond Centre CT
BLDG 100
Fort Myers, FL 33912-4367
Phone (239) 768-6396
773 Hwy 466
Lady Lake, FL 32159-6340
Phone (239) 768-6396
Merit-based Incentive Payment System (MIPS)
- Final score
- 60.29 of 100
- Quality
- 35.5
- Improvement activities
- 40
- Cost
- 53.62
Merit-based Incentive Payment System (MIPS)
- Final score
- 64.42 of 100
- Quality
- 38.39
- Improvement activities
- 40
- Cost
- 63.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness by Physicians, Inc. | Physical Therapist | Current | Accepting new patients |
| Wellness by Physicians, Inc. | Physical Therapist | Current | Accepting new patients |
| Physicians for Quality Healthcare, Inc. | Current | Accepting new patients |
Locations
24870 S Tamiami Trl
Ste 3
Bonita Springs, FL 34134
Phone (239) 676-3663
3321 Del Prado Blvd S
Ste 3
Cape Coral, FL 33904
Phone (239) 230-2490
6150 Diamond Centre Ct
Bldg 100
Fort Myers, FL 33912
Phone (239) 768-6896
12090 Metro Pkwy
Fort Myers, FL 33966
773 Highway 466
Lady Lake, FL 32159
Phone (321) 274-1864
733 Highway 466
Lady Lake, FL 32159
Phone (352) 205-7702
5668 Strand Ct
Naples, FL 34110
Phone (239) 590-3883
3417 Tamiami Trl
Ste A
Pt Charlotte, FL 33952
Phone (941) 344-9249
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.
-
- Physical Medicine & Rehabilitation Physician
- Fort Myers, FL
- NPI 1528353554
-
- Physical Medicine & Rehabilitation Physician
- Fort Myers, FL
- NPI 1821459322
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Lady Lake, FL
- NPI 1518488907
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313539200000",
"number": "1518164698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5820 HARBORAGE DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339084549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 HARBORAGE DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339084549",
"telephone_number": "239-462-2278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENARANDA",
"first_name": "DEXTER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2011-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "19144",
"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 Aug 17, 2011; 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.