Paragon Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0009493 Issued in FL

Legal business name

PARAGON PHYSICAL THERAPY INC

Practice address

3920 Bee Ridge Rd
Building E, Suite H
Sarasota, FL 34233-1207

Phone

(941) 924-4605

Fax

(941) 924-4617

NPI assigned

May 9, 2006

Last updated

Oct 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donnabelle Bertulfo Vitug, RPTNPI 1982816435

Title

President

Phone

94132313397

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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.

• Donnabelle Vitug

  • Physical Therapist
  • Bradenton, FL
  • NPI 1982816435
  NPD (past) Authorized official

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1619926292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 44TH CT E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342037022",
            "telephone_number": "941-321-3397",
            "fax_number": "941-739-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 BEE RIDGE RD",
            "address_2": "BUILDING E, SUITE H",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331207",
            "telephone_number": "941-924-4605",
            "fax_number": "941-924-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "VITUG",
        "authorized_official_first_name": "DONNABELLE",
        "authorized_official_middle_name": "BERTULFO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "94132313397",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "0009493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1619926292",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982816435",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780896712",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Park Dental Associates, LLC

• Physical Therapist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.