Individual provider Active NPI

Michael Domenic Tuccio, DPT

  • Physical Therapist
  • Palm Harbor, FL
National Provider Identifier
1710975339
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20245 Issued in FL
Practice address
31608 US Highway 19 N
Palm Harbor, FL 34684-3723
Phone
(813) 317-5486
Fax
(813) 602-0164
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 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 PT20245 FL Primary

Addresses

Primary practice location

31608 US Highway 19 N
Palm Harbor, FL 34684-3723

Mailing address

13601 Lytton Way
Tampa, FL 33624-2540
Phone (813) 317-5486

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040329001663 FL Practitioner - Physical Therapist in Private Practice 4385536689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Befit Rehabilitation LLCGroup PAC ID 2860990074, 11 clinicians

Practice addresses (Care Compare)

15000 US Hwy 441
Eustis, FL 32726-6589
Phone (727) 242-8630

1701 68TH St N
St Petersburg, FL 33710-8744
Phone (727) 242-8630

3141 N McMullen Booth Rd
Clearwater, FL 33761-2035
Phone (727) 242-8630

31608 US Hwy 19 N
Palm Harbor, FL 34684-3723
Phone (813) 317-5486

770 Goodlette Rd
Naples, FL 34102-5607
Phone (727) 242-8630

93 Balmoral Dr
Lake Placid, FL 33852-7000
Phone (727) 242-8630

9797 Bay Pines Blvd
St Petersburg, FL 33708-3775
Phone (727) 242-8630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
I Rehab Now LLC Physical Therapist CurrentSince Jan 18, 2008 Accepting new patients
Befit Rehabilitation LLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Axiom Medical Clinic LLC Physical Therapist Past Accepting new patients
West Florida Orthopedic Rehabilitation, Inc. Physical Therapist PastSince Jun 19, 2003 Accepting new patients

Locations

31608 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 787-7077

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1710975339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13601 LYTTON WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242540",
            "telephone_number": "813-317-5486",
            "fax_number": "813-602-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31608 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843723",
            "telephone_number": "813-317-5486",
            "fax_number": "813-602-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCCIO",
        "first_name": "MICHAEL",
        "middle_name": "DOMENIC",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; 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.