NPIMap

Organization Active NPI

Donner Physical Therapy and Sports Rehab Inc

  • Orthopedic Physical Therapist
  • Plantation, FL
National Provider Identifier
1598086852
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
16055 Issued in FL
Legal business name
DONNER PHYSICAL THERAPY AND SPORTS REHAB INC
Practice address
8040 Peters Rd Ste H107
Plantation, FL 33324-4029
Phone
(954) 296-8258
NPI assigned
Jun 21, 2010
Last updated
Sep 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Mr. Matt Donner, PT
Title
President
Phone
(954) 804-7501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 16055 FL Primary

Addresses

Primary practice location

8040 Peters Rd Ste H107
Plantation, FL 33324-4029

Mailing address

1021 S University Dr
Suite 220
Plantation, FL 33324-3321
Phone (954) 804-7501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101026000842 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961695614 Receives reassigned benefits from 5 practitioners
Practice locations: Coral Springs, FL; Ft. Lauderdale, FL; Plantation, FL

National Provider Directory

National Provider Directory

Locations

1021 S University Dr
Ste 220
Plantation, FL 33324
Phone (954) 835-5619

8040 Peters Rd
Ste H107
Plantation, FL 33324
Phone (954) 296-8258

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1598086852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 S UNIVERSITY DR",
            "address_2": "SUITE 220",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243321",
            "telephone_number": "954-804-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 PETERS RD STE H107",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244029",
            "telephone_number": "954-296-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNER PHYSICAL THERAPY AND SPORTS REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "DONNER",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-804-7501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "16055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.