Individual provider Active NPI

Reginaldo Pardilla Moreno, RPT

  • Physical Therapist
  • Bayonet Point, FL
National Provider Identifier
1639366156
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT#0005432 Issued in FL
Practice address
7236 State Road 52
Suite 4
Bayonet Point, FL 34667-6789
Phone
(727) 946-0884
NPI assigned
Sep 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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 PT#0005432 FL Primary

Addresses

Primary practice location

7236 State Road 52
Suite 4
Bayonet Point, FL 34667-6789

Mailing address

365 Wood Dove Ave
Tarpon Springs, FL 34689-7530
Phone (727) 946-0884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080305000167 FL Practitioner - Physical Therapist in Private Practice 4082799770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
86.58
Improvement activities
40
Cost
68.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT#0005432FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 16, 2024 Accepting new patients
Rehab Therapy Solutions LLC Physical Therapist CurrentSince Sep 28, 2007 Accepting new patients
Rehab Therapy Solutions LLC Physical Therapist Current Accepting new patients

Locations

7236 State Road 52
Ste 4
Bayonet Point, FL 34667
Phone (727) 946-0884

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

Organizations & group practices 3

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": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1639366156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 WOOD DOVE AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346897530",
            "telephone_number": "727-946-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7236 STATE ROAD 52",
            "address_2": "SUITE 4",
            "city": "BAYONET POINT",
            "state": "FL",
            "postal_code": "346676789",
            "telephone_number": "727-946-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "REGINALDO",
        "middle_name": "PARDILLA",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT#0005432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonet Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.