Individual provider Active NPI

Daryon Shariati

  • Physical Therapist
  • Winter Haven, FL
National Provider Identifier
1699324442
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35124 Issued in FL
Practice address
202 Avenue O NE
Winter Haven, FL 33881-2409
Phone
(863) 293-3103
NPI assigned
Sep 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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 PT35124 FL Primary

Addresses

Primary practice location

202 Avenue O NE
Winter Haven, FL 33881-2409

Mailing address

6526 San Francesco Way Unit 2207
Windermere, FL 34786-5849
Phone (847) 219-1656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200527002784 FL Practitioner - Physical Therapist in Private Practice 5294156386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, 1,125 clinicians
Physician Business Alliance IncGroup PAC ID 3678657533, 13 clinicians

Practice addresses (Care Compare)

12321 Stoneybrook W Pkwy
Suite B
Winter Garden, FL 34787-4199
Phone (407) 410-8746

2020 Oakley Seaver Dr
Suite 3
Clermont, FL 34711-1902
Phone (352) 242-0404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT35124FLMDPhysical Therapist

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Cora Health Services, Inc CurrentSince Mar 2, 2026 Accepting new patients
Physician Business Alliance Inc CurrentSince Oct 28, 2025 Accepting new patients
Cora Health Services, Inc. CurrentSince Mar 2, 2026 Accepting new patients

Locations

2020 Oakley Seaver Dr
Clermont, FL 34711
Phone (352) 242-0404

2020 Oakley Seaver Dr
Ste 3
Clermont, FL 34711
Phone (352) 242-0404

12321 Stoneybrook West Pkwy
Ste B
Winter Garden, FL 34787
Phone (407) 410-8746

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1699324442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6526 SAN FRANCESCO WAY UNIT 2207",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865849",
            "telephone_number": "847-219-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 AVENUE O NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812409",
            "telephone_number": "863-293-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIATI",
        "first_name": "DARYON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.