Organization Active NPI

Physical Therapy Doctors LLC

  • Physical Therapy Clinic/Center
  • Osprey, FL
National Provider Identifier
1669181293
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSICAL THERAPY DOCTORS LLC
Practice address
3976 Destination Dr
Osprey, FL 34229-9514
Phone
(941) 966-1227
Fax
(941) 966-1237
NPI assigned
Nov 22, 2022
Last updated
Nov 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Doaa Talees, DPTNPI 1700153020
Title
DPT/Owner
Phone
(941) 966-1227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3976 Destination Dr
Osprey, FL 34229-9514

Mailing address

3976 Destination Dr
Osprey, FL 34229-9514
Phone (941) 966-1227

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230223001508 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214300110 Receives reassigned benefits from 5 practitioners
Practice locations: Osprey, FL

National Provider Directory

National Provider Directory

Locations

3976 Destination Dr
Osprey, FL 34229
Phone (941) 966-1227

3976 Destination Dr
Unit 206
Osprey, FL 34229
Phone (941) 966-1227

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1669181293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3976 DESTINATION DR",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299514",
            "telephone_number": "941-966-1227",
            "fax_number": "941-966-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3976 DESTINATION DR",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299514",
            "telephone_number": "941-966-1227",
            "fax_number": "941-966-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY DOCTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "TALEES",
        "authorized_official_first_name": "DOAA",
        "authorized_official_title_or_position": "DPT/OWNER",
        "authorized_official_telephone_number": "941-966-1227",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osprey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.