Active NPI
Richard J Donovan, P.T.
- Orthopedic Physical Therapist
- Sebastian, FL
National Provider Identifier
1821157207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2655
- Practice address
- 13852 US Highway 1
Sebastian, FL 32958-3231 - Phone
- (772) 589-3600
- Fax
- (772) 388-3305
- NPI assigned
- Dec 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2655 | FL | Primary |
Addresses
Primary practice location
13852 US Highway 1
Sebastian, FL 32958-3231
Mailing address
1831 E Cayman Rd
Vero Beach, FL 32963-4534
Phone (772) 589-3600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2655 | FL | MD | Orthopedic Physical Therapist |
Organizations & group practices 1
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.
-
dba Coastal Physical Therapy
- Physical Therapist
- Sebastian, FL
- NPI 1780897686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821157207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1831 E CAYMAN RD",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329634534",
"telephone_number": "772-589-3600",
"fax_number": "772-388-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13852 US HIGHWAY 1",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329583231",
"telephone_number": "772-589-3600",
"fax_number": "772-388-3305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "2655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebastian, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.