Individual provider Active NPI

Omar Khaled Temraz, PT, DPT

  • Physical Therapist
  • Osprey, FL
National Provider Identifier
1669255337
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40716 Issued in FL
Practice address
3976 Destination Dr
Osprey, FL 34229-9514
Phone
(941) 966-1277
NPI assigned
Aug 16, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 304947 CA
Physical Therapist 225100000X 40716 FL Primary

Addresses

Primary practice location

3976 Destination Dr
Osprey, FL 34229-9514

Mailing address

842 Placid Lake Dr
Osprey, FL 34229-6833
Phone (941) 456-3498

Other practice location 1

210 East Citrus Ave
Redlands, CA 92373
Phone (951) 376-3380

Other practice location 2

522 E Marion Ave
Punta Gorda, FL 33950-3803
Phone (941) 639-8273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906003715 FL Practitioner - Physical Therapist in Private Practice 9436597333 Reassigns benefits to 2 organizations

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
Advanced Physical Therapy of Venice IncGroup PAC ID 5597753269, 2 clinicians
Physical Therapy Doctors LLCGroup PAC ID 7214300110, 3 clinicians

Practice addresses (Care Compare)

1232 Jacaranda Blvd
Venice, FL 34292-4507
Phone (941) 493-6449

3976 Destination Dr
Unit 206
Osprey, FL 34229-9502
Phone (941) 966-1227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40716FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Doctors LLC Physical Therapist CurrentSince Jul 10, 2024 Accepting new patients
Total Wellness Inc Physical Therapist Past Accepting new patients

Locations

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

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

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": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1669255337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 PLACID LAKE DR",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342296833",
            "telephone_number": "941-456-3498"
        },
        {
            "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": "941-966-1277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 East Citrus Ave",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "92373",
            "country_code": "US",
            "telephone_number": "951-376-3380",
            "fax_number": "951-684-2980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "522 E Marion Ave",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339503803",
            "country_code": "US",
            "telephone_number": "941-639-8273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMRAZ",
        "first_name": "OMAR",
        "middle_name": "KHALED",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-16",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304947",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "40716",
            "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 Oct 9, 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.