Individual provider Active NPI

Michael John Sposito, PT, DPT

  • Physical Therapist
  • Palm Coast, FL
National Provider Identifier
1629802178
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41275 Issued in FL
Practice address
250 Palm Coast Pkwy NE Unit 209
Palm Coast, FL 32137-8289
Phone
(386) 597-1927
NPI assigned
Aug 28, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 41275 FL Primary

Addresses

Primary practice location

250 Palm Coast Pkwy NE Unit 209
Palm Coast, FL 32137-8289

Mailing address

101 Timbercreek Dr
Ponte Vedra, FL 32081-0971
Phone (904) 654-2331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241212003010 FL Practitioner - Physical Therapist in Private Practice 3678009776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Solutions of Pensacola, LLCGroup PAC ID 7517102973, 32 clinicians

Practice addresses (Care Compare)

115 Bartram Oaks Walk
Suite 101
Saint Johns, FL 32259-3247
Phone (678) 459-3758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41275FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Solutions of Pensacola, LLC Physical Therapist CurrentSince Nov 15, 2024 Accepting new patients
PT Solutions of Pensacola LLC Physical Therapist CurrentSince Nov 15, 2024 Accepting new patients

Locations

250 Palm Coast Pkwy NE
Unit 209A
Palm Coast, FL 32137
Phone (386) 597-1927

5401 Corporate Woods Dr
Ste 300
Pensacola, FL 32504
Phone (850) 912-6840

115 Bartram Oaks Walk
Ste 101
St Johns, FL 32259
Phone (904) 217-3107

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": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1629802178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TIMBERCREEK DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810971",
            "telephone_number": "904-654-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PALM COAST PKWY NE UNIT 209",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378289",
            "telephone_number": "386-597-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOSITO, PT",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "41275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.