Robert Middaugh III, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22559 Issued in FL

Practice address

4343 W Newberry Rd
Suite 4
Gainesville, FL 32607-2817

Phone

(352) 373-7984

NPI assigned

Dec 18, 2008

Last updated

Dec 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fit for Life Physical Therapy, IncGroup PAC ID 2365438181, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fit for Life Physical Therapy, Inc

  • Physical Therapist
  • Gainesville, FL
  • NPI 1144203894
  Medicare reassignment Care Compare group NPD
• Fit for Life Physical Therapy, Inc

  • Physical Therapist
  • Lady Lake, FL
  • NPI 1295969897
  NPD
• Fit for Life Physical Therapy, Inc

  • Physical Therapist
  • Ocala, FL
  • NPI 1417084674
  NPD

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1790921971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357279",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326357279",
            "telephone_number": "352-373-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 W NEWBERRY RD",
            "address_2": "SUITE 4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072817",
            "telephone_number": "352-373-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDAUGH",
        "first_name": "ROBERT",
        "name_suffix": "III",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Norma Michelson, LMT
• Florina Mickel, APRN
• Casandra Mickens, MSW
• Tanya J Mickler, PHD
• Mid-Florida Area Agency on Aging (Elder Options)
• Sara Allgood Middlebrooks, CRNA
• Angela Pennisi Middleton, AP
• Charles Edward Middleton IV, MD
• Joshua Robert Middleton, MD
• Midwives Cooperative LLC

• Physical Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.