Individual provider Active NPI

Anuradhika Ishara Lepoth Deniyage, PT, DPT

  • Physical Therapist
  • Spring Hill, FL
National Provider Identifier
1831750934
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34563 Issued in FL
Practice address
6119 Deltona Blvd
Spring Hill, FL 34606-1011
Phone
(352) 592-9559
Fax
(352) 592-9921
NPI assigned
Jun 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT027716 PA
Physical Therapist 225100000X PT014504 GA
Physical Therapist 225100000X PT34563 FL Primary

Addresses

Primary practice location

6119 Deltona Blvd
Spring Hill, FL 34606-1011

Mailing address

6119 Deltona Blvd
Spring Hill, FL 34606-1011
Phone (352) 592-9559

Other practice location 1

13826 Little Rd
Hudson, FL 34667-8025
Phone (727) 378-4927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200714001944 FL Practitioner - Physical Therapist in Private Practice 8426487570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34563FLMDPhysical Therapist
PT027716PAMDPhysical Therapist

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1831750934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 DELTONA BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061011",
            "telephone_number": "352-592-9559",
            "fax_number": "352-592-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6119 DELTONA BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061011",
            "telephone_number": "352-592-9559",
            "fax_number": "352-592-9921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13826 Little Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346678025",
            "country_code": "US",
            "telephone_number": "727-378-4927",
            "fax_number": "727-378-4897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEPOTH DENIYAGE",
        "first_name": "ANURADHIKA",
        "middle_name": "ISHARA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027716",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014504",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.