Individual provider Active NPI

Jason Ray Berlongieri, PT, DPT, NCS

  • Neurology Physical Therapist
  • Coral Springs, FL
National Provider Identifier
1609440692
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
PT33621 Issued in FL
Practice address
5441 N University Dr Ste 101
Coral Springs, FL 33067-4640
Phone
(954) 803-9002
NPI assigned
May 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X PT33621 FL Primary

Addresses

Primary practice location

5441 N University Dr Ste 101
Coral Springs, FL 33067-4640

Mailing address

5441 N University Dr Ste 101
Coral Springs, FL 33067-4640
Phone (954) 803-9002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210621000147 FL Practitioner - Physical Therapist in Private Practice 0941600449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Neurology Institute, LLCGroup PAC ID 8123393881, 25 clinicians

Practice addresses (Care Compare)

5441 N University Dr
Suite 101
Coral Springs, FL 33067-4640
Phone (954) 803-9002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Movement Therapy Center-Boynton Beach Inc Neurology CurrentSince May 28, 2021 Accepting new patients
The Neurology Institute, LLC CurrentSince Apr 18, 2022 Accepting new patients

Locations

12040 S Jog Rd
Ste 8
Boynton Beach, FL 33437
Phone (561) 733-5083

5441 N University Dr
Ste 101
Coral Springs, FL 33067
Phone (954) 739-2221

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22170/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DECFCD

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": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1609440692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 N UNIVERSITY DR STE 101",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674640",
            "telephone_number": "954-803-9002",
            "fax_number": "954-933-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 N UNIVERSITY DR STE 101",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674640",
            "telephone_number": "954-803-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLONGIERI",
        "first_name": "JASON",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, NCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-14",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "FL",
            "license": "PT33621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.