Individual provider Active NPI

Felipe Carbonell, PT, DPT

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1669985701
Registry record updated May 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33203 Issued in FL
Practice address
8331 Lockwood Ridge Rd
Sarasota, FL 34243-2930
Phone
(941) 355-5565
Fax
(941) 355-3933
NPI assigned
Nov 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2020

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 33203 FL Primary

Addresses

Primary practice location

8331 Lockwood Ridge Rd
Sarasota, FL 34243-2930

Mailing address

105 Pompano Dr SE Apt D
St Petersburg, FL 33705-4076

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180201001292 FL Practitioner - Physical Therapist in Private Practice 8921368457 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33203FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fisico Therapy Solutions LLC Physical Therapist CurrentSince Nov 15, 2017 Accepting new patients
Skyway Physical Therapy LLC CurrentSince May 31, 2020 Accepting new patients

Locations

8331 Lockwood Ridge Rd
Sarasota, FL 34243
Phone (941) 355-5565

5899 Whitfield Ave
Ste 100
Sarasota, FL 34243
Phone (941) 355-5565

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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": "1510444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590364800000",
    "number": "1669985701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 POMPANO DR SE APT D",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337054076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8331 LOCKWOOD RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432930",
            "telephone_number": "941-355-5565",
            "fax_number": "941-355-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONELL",
        "first_name": "FELIPE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-12",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "33203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; 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.