Individual provider Active NPI

Obaidah Fariz, PT

  • Physical Therapist
  • Brandon, FL
National Provider Identifier
1548908841
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
824 N Parsons Ave
Brandon, FL 33510-3435
Phone
(813) 413-6924
NPI assigned
May 25, 2022
Last updated
May 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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 Primary

Addresses

Primary practice location

824 N Parsons Ave
Brandon, FL 33510-3435

Mailing address

8106 River Mont Way
Temple Terrace, FL 33637-7921
Phone (708) 262-2700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221206002890 FL Practitioner - Physical Therapist in Private Practice 1153790530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

10 W Grove Ave
Lake Wales, FL 33853-4516
Phone (863) 223-8047

11202 Dewhurst Dr
Riverview, FL 33578-4286
Phone (813) 861-2113

1325 Grasslands Blvd
Lakeland, FL 33803-5405
Phone (863) 248-0188

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

2219 Chiquita Blvd S
Cape Coral, FL 33991-3291
Phone (239) 205-3654

320 S Lakewood Dr
Brandon, FL 33511-0809
Phone (813) 278-5057

37411 Eiland Blvd
Zephyrhills, FL 33542-1800
Phone (813) 702-4000

38130 Pretty Pond Rd
Zephyrhills, FL 33540-1419
Phone (813) 779-3780

414 E Chapman Rd
Lutz, FL 33549-5779
Phone (813) 333-1140

8213 Killearn Lakes Ter
Tallahassee, FL 32312-4144
Phone (850) 391-0979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Sep 2, 2022 Accepting new patients
Legacy Healthcare Services, Inc Physical Therapist CurrentSince Sep 2, 2022 Accepting new patients

Locations

2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654

8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979

38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

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, 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": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1548908841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8106 RIVER MONT WAY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336377921",
            "telephone_number": "708-262-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 N PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103435",
            "telephone_number": "813-413-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIZ",
        "first_name": "OBAIDAH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.