Active NPI
David Bencomo, DPT
- Physical Therapist
- Tampa, FL
National Provider Identifier
1609593318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT37893
- Practice address
- 5401 W Kennedy Blvd Ste 100
Tampa, FL 33609-2457 - Phone
- (866) 839-6979
- Fax
- (916) 913-5646
- NPI assigned
- Oct 24, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | PT37893 | FL | Primary |
Addresses
Primary practice location
5401 W Kennedy Blvd Ste 100
Tampa, FL 33609-2457
Mailing address
1240 W 78TH St
Hialeah, FL 33014-3431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT37893 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bolanos Associates, LLC. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1609593318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 W 78TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330143431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 W KENNEDY BLVD STE 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336092457",
"telephone_number": "866-839-6979",
"fax_number": "916-913-5646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENCOMO",
"first_name": "DAVID",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-24",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT37893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.