DJC Physical Medicine Consultants LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

DJC PHYSICAL MEDICINE CONSULTANTS LLC

Practice address

901 Clearwater Largo Rd N
Largo, FL 33770-4126

Phone

(609) 980-5627

NPI assigned

Oct 2, 2024

Organization subpart

No

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

Authorized official

Name

D'Wan J Carpenter, MDNPI 1447518386

Title

President

Phone

(609) 980-5627

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• D'Wan J Carpenter, D.O.

  • Physical Medicine & Rehabilitation Physician
  • New Orleans, LA
  • NPI 1447518386

  FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1801614284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "609-980-5627",
            "fax_number": "813-790-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CLEARWATER LARGO RD N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704126",
            "telephone_number": "609-980-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJC PHYSICAL MEDICINE CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "D'WAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-980-5627",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marietta S Dinopol, PT
• Discovery Medical Supply Inc
• Kathleen C Divito, DDS
• David D Dixon
• Saskea Shawnee Dixon
• DME of Florida, L.L.C.
• Dna Comprehensive Therapy Services, LLC
• Lam Vinh DO
• Amy G. Doan, D.D.S.
• Matthew Steven Dockus, D.M.D

• Physical Medicine & Rehabilitation Physician in Largo, FL
• Providers in Largo, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.