Individual provider Active NPI

Jody Rappaport, M PT

  • Specialist
  • Tampa, FL
National Provider Identifier
1790841542
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT 13771 Issued in FL
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

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
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

Enrollment IDStateProvider typePAC IDDetails
I20070420000547 FL Practitioner - Physical Therapist in Private Practice 8527163492 Reassigns benefits to 2 organizations

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
Functionality for Life, LLCGroup PAC ID 4587092465, 2 clinicians
Go-PT IncGroup PAC ID 9032566799, 25 clinicians

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

LicenseStateTypeSpecialty
PT 13771FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Functionality for Life, LLC CurrentSince Oct 27, 2025 Accepting new patients
Go-PT Inc. CurrentSince Sep 10, 2025 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.

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.

Verify at the official NPI Registry.