Individual provider Active NPI

Savannah Vereen, DPT

  • Physical Therapist
  • St Petersburg, FL
National Provider Identifier
1750009387
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39029 Issued in FL
Practice address
5535 Park St N
St Petersburg, FL 33709-6309
Phone
(727) 209-0579
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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 PT39029 FL Primary

Addresses

Primary practice location

5535 Park St N
St Petersburg, FL 33709-6309

Mailing address

3110 Grand Ave Apt 4208
Pinellas Park, FL 33782-6174
Phone (251) 509-7276

Other practice location 1

26201 S Tamiami Trl Ste 1
Bonita Springs, FL 34134-7822
Phone (239) 498-0558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831001186 FL Practitioner - Physical Therapist in Private Practice 1153705744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Sports and Orthopedic TherapyGroup PAC ID 0446243729, 6 clinicians

Practice addresses (Care Compare)

5535 Park St N
St Petersburg, FL 33709-6309
Phone (727) 209-0579

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as group
Quality
94.53
Improvement activities
40
Cost
77.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39029FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Sports and Orthopedic Therapy CurrentSince Dec 15, 2022 Accepting new patients
Suncoast Sports and Orthopedic Therapy Physical Therapist CurrentSince Dec 15, 2022 Accepting new patients

Locations

40 66th St N
St Petersburg, FL 33710
Phone (727) 345-3346

5535 Park St N
St Petersburg, FL 33709
Phone (727) 209-0579

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1750009387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 GRAND AVE APT 4208",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337826174",
            "telephone_number": "251-509-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337096309",
            "telephone_number": "727-209-0579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26201 S Tamiami Trl Ste 1",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341347822",
            "country_code": "US",
            "telephone_number": "239-498-0558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEREEN",
        "first_name": "SAVANNAH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.