Individual provider Active NPI

Michael Massey, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Palm Harbor, FL
National Provider Identifier
1609124072
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
OS17196 Issued in FL
Practice address
2595 Tampa Rd Ste U
Palm Harbor, FL 34684-3132
Phone
(727) 238-3238
Fax
(727) 382-8186
NPI assigned
Aug 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 125.060829 IL
Physical Medicine & Rehabilitation Physician 208100000X 036133901 IL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 61131 MN
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X OS17196 FL Primary

Addresses

Primary practice location

2595 Tampa Rd Ste U
Palm Harbor, FL 34684-3132

Mailing address

2595 Tampa Rd Ste U
Palm Harbor, FL 34684-3132
Phone (727) 238-3238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161010002186 MN Practitioner - Physical Medicine and Rehabilitation 2365679990 Reassigns benefits to 1 organization
I20220526002450 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 2365679990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2595 Tampa Rd
Suite U
Palm Harbor, FL 34684-3132
Phone (727) 371-6468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
125.060829ILMDPhysical Medicine & Rehabilitation Physician
OS17196FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Paincare PLLC Physical Medicine & Rehabilitation CurrentSince Nov 15, 2023 Accepting new patients

Locations

2595 Tampa Rd
Ste U
Palm Harbor, FL 34684
Phone (727) 371-6468

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFIBCD/Endpoint/DFIBCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCCCDD/Endpoint/BCCCDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1609124072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD STE U",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843132",
            "telephone_number": "727-238-3238",
            "fax_number": "727-382-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD STE U",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843132",
            "telephone_number": "727-238-3238",
            "fax_number": "727-382-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "125.060829",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036133901",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MN",
            "license": "61131",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS17196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.