Individual provider Active NPI

David Goranson, PT

  • Physical Therapist
  • Punta Gorda, FL
National Provider Identifier
1801881727
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22128 Issued in FL
Practice address
324 Cross St
Punta Gorda, FL 33950-4802
Phone
(941) 575-8228
Fax
(941) 575-9743
NPI assigned
Sep 16, 2005
Last updated
Jul 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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 PT22128 FL Primary

Addresses

Primary practice location

324 Cross St
Punta Gorda, FL 33950-4802

Mailing address

PO Box 495665
Port Charlotte, FL 33949-5665
Phone (941) 575-8228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT22128FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Natural Healing Center Inc Physical Therapist Past Accepting new patients
New Hope Natural Healing Center Inc Physical Therapist Past Accepting new patients
Charlotte Workers Comp Injury Center Inc Physical Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1801881727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495665",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339495665",
            "telephone_number": "941-575-8228",
            "fax_number": "941-575-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 CROSS ST",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504802",
            "telephone_number": "941-575-8228",
            "fax_number": "941-575-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORANSON",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.