Individual provider Active NPI

Robert Dragan, PT

  • Physical Therapist
  • Zephyrhills, FL
National Provider Identifier
1710106497
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT11233 Issued in FL
Practice address
38026 Medical Center Ave
Zephyrhills, FL 33540-1383
Phone
(813) 779-8829
Fax
(813) 779-8827
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT11233 FL Primary

Addresses

Primary practice location

38026 Medical Center Ave
Zephyrhills, FL 33540-1383

Mailing address

1336 Highwood PL
Wesley Chapel, FL 33543-6760
Phone (813) 991-5414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120410000317 FL Practitioner - Physical Therapist in Private Practice 8022071810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Point IncGroup PAC ID 2961465752, 2 clinicians

Practice addresses (Care Compare)

38026 Medical Ctr Ave
Zephyrhills, FL 33540-1383
Phone (813) 779-8829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT11233FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Point Inc Physical Therapist CurrentSince Feb 5, 2003 Accepting new patients
Restore Therapies, LLC Physical Therapist PastSince Feb 5, 2003 Accepting new patients

Locations

38026 Medical Center Ave
Zephyrhills, FL 33540
Phone (813) 779-8829

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710106497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 HIGHWOOD PL",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335436760",
            "telephone_number": "813-991-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38026 MEDICAL CENTER AVE",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335401383",
            "telephone_number": "813-779-8829",
            "fax_number": "813-779-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGAN",
        "first_name": "ROBERT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT11233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.