Active NPI
Timothy J Doot
- Physical Therapist
- New Port Richey, FL
National Provider Identifier
1740303114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19290
- Practice address
- 11509 Leda LN
New Port Richey, FL 34654-6237 - Phone
- (352) 597-1530
- NPI assigned
- Apr 9, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | PT19290 | FL | Primary |
Addresses
Primary practice location
11509 Leda LN
New Port Richey, FL 34654-6237
Mailing address
11509 Leda Lane
New Port Richey, FL 34654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8877700000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
802 E Whiting St
Tampa, FL 33602-4136
Phone (716) 523-1783
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visitry Florida LLC | Physical Therapist | Current | Accepting new patients |
Locations
802 E Whiting St
Tampa, FL 33602
Phone (716) 523-1783
Networks
- Optimum HealthCare HMO Network
Organizations & group practices 1
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.
-
- Physical Therapist
- Tampa, FL
- NPI 1659131837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740303114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11509 LEDA LANE",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "34654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11509 LEDA LN",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346546237",
"telephone_number": "352-597-1530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOT",
"first_name": "TIMOTHY",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT19290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8877700000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, 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.