Active NPI
Fermin Roland Rotea, P.T.
- Physical Therapist
- Odessa, FL
National Provider Identifier
1700986429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10432
- Practice address
- 16019 Muirfield Dr
Odessa, FL 33556-2861 - Phone
- (813) 310-1526
- Fax
- (813) 920-2787
- NPI assigned
- Sep 23, 2006
- Last updated
- Dec 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT10432 | FL | Primary |
Addresses
Primary practice location
16019 Muirfield Dr
Odessa, FL 33556-2861
Mailing address
16019 Muirfield Dr
Odessa, FL 33556-2861
Phone (813) 310-1526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT10432 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Patient Care of the Nature Coast LLC | Current | Accepting new patients | |
| Optimal Patient Care LLC | Current | Accepting new patients | |
| Optimal Patient Care LLC | Current | Accepting new patients | |
| TBC Rehab Inc. | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rehab Matters Home Health
- Home Health Agency
- New Port Richey, FL
- NPI 1275921777
-
dba Rehab at Home
- Home Health Agency
- Leesburg, FL
- NPI 1073905832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1700986429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16019 MUIRFIELD DR",
"city": "ODESSA",
"state": "FL",
"postal_code": "335562861",
"telephone_number": "813-310-1526",
"fax_number": "813-920-2787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16019 MUIRFIELD DR",
"city": "ODESSA",
"state": "FL",
"postal_code": "335562861",
"telephone_number": "813-310-1526",
"fax_number": "813-920-2787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTEA",
"first_name": "FERMIN",
"middle_name": "ROLAND",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT10432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.