Individual provider Active NPI

Peter M Tassent, MPT

  • Physical Therapist
  • Port Orange, FL
National Provider Identifier
1639398902
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13171 Issued in FL
Practice address
733 Dunlawton Ave Ste 103
Port Orange, FL 32127-4226
Phone
(386) 756-0077
Fax
(386) 756-6811
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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 13171 FL Primary

Addresses

Primary practice location

733 Dunlawton Ave Ste 103
Port Orange, FL 32127-4226

Mailing address

21 Queen Anne CT
Ormond Beach, FL 32174-8455
Phone (386) 671-9937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190117003341 FL Practitioner - Physical Therapist in Private Practice 4183960719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Rehabilitation, LLCGroup PAC ID 6901884519, 20 clinicians

Practice addresses (Care Compare)

752 W Plymouth Ave
Deland, FL 32720-3282
Phone (386) 734-1136

Merit-based Incentive Payment System (MIPS)

Final score
74.5 of 100Reported as individual
Quality
70
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13171FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Rehabilitation, LLC Physical Therapist CurrentSince Oct 21, 2018 Accepting new patients

Locations

752 W Plymouth Ave
Deland, FL 32720
Phone (376) 734-1136

733 Dunlawton Ave
Ste 103
Port Orange, FL 32127
Phone (386) 756-0077

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1639398902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 QUEEN ANNE CT",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748455",
            "telephone_number": "386-671-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 DUNLAWTON AVE STE 103",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274226",
            "telephone_number": "386-756-0077",
            "fax_number": "386-756-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASSENT",
        "first_name": "PETER",
        "middle_name": "M",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2021-05-05",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "13171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.