Active NPI
Jody Rappaport, M PT
- Specialist
- Tampa, FL
National Provider Identifier
1790841542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT 13771
- Practice address
- 12625 Race Track Rd
Tampa, FL 33626-1331 - Phone
- (813) 343-5500
- Fax
- (813) 343-5506
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT 13771 | FL | Primary |
Addresses
Primary practice location
12625 Race Track Rd
Tampa, FL 33626-1331
Mailing address
10016 Bridgeton Dr
Tampa, FL 33626-1840
Phone (813) 343-5500
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, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1234 Katahdin CT
Wesley Chapel, FL 33543-6860
Phone (813) 442-1204
900 E Indiantown Rd
Suite 100
Jupiter, FL 33477-5142
Phone (888) 627-2325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 13771 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functionality for Life, LLC | Current | Accepting new patients | |
| Go-PT Inc. | Current | Accepting new patients | |
| Burke Collins Therapy, Inc | Past | Accepting new patients |
Locations
900 E Indiantown Rd
Ste 100
Jupiter, FL 33477
Phone (888) 627-2325
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
- Occupational Therapist
- Wesley Chapel, FL
- NPI 1932741659
-
- Physical Therapist
- Jupiter, FL
- NPI 1295518553
-
- Orthopedic Physical Therapist
- Brandon, FL
- NPI 1730295734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790841542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10016 BRIDGETON DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261840",
"telephone_number": "813-343-5500",
"fax_number": "813-343-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12625 RACE TRACK RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261331",
"telephone_number": "813-343-5500",
"fax_number": "813-343-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPPAPORT",
"first_name": "JODY",
"credential": "M PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "PT 13771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, 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.