Individual provider Active NPI

Onsi N Derias, PT

  • Physical Therapist
  • Summerfield, FL
National Provider Identifier
1841340254
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15932 Issued in FL
Practice address
10935 SE 177TH PL Ste 406
Summerfield, FL 34491-8973
Phone
(352) 307-6843
Fax
(352) 307-9308
NPI assigned
Jan 11, 2007
Last updated
Dec 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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 PT15932 FL Primary

Addresses

Primary practice location

10935 SE 177TH PL Ste 406
Summerfield, FL 34491-8973

Mailing address

PO Box 1568
Lady Lake, FL 32158-1568
Phone (352) 307-6843

Other identifiers 1

IdentifierTypeStateIssuer
Y064HOtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000796 FL Practitioner - Physical Therapist in Private Practice 2466421094 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness by Physicians IncGroup PAC ID 4688966260, 10 clinicians

Practice addresses (Care Compare)

773 Hwy 466
Lady Lake, FL 32159-6340
Phone (239) 768-6396

Merit-based Incentive Payment System (MIPS)

Final score
60.29 of 100Reported as group
Quality
35.5
Improvement activities
40
Cost
53.62

Merit-based Incentive Payment System (MIPS)

Final score
64.42 of 100Reported as group
Quality
38.39
Improvement activities
40
Cost
63.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Health Care Management LLC Physical Therapist CurrentSince Dec 1, 2020 Accepting new patients
Wellness by Physicians, Inc. Physical Therapist CurrentSince Sep 1, 2016 Accepting new patients
Physicians for Quality Healthcare, Inc. CurrentSince Sep 1, 2015 Accepting new patients
Creative Health Care Management, LLC Physical Therapist CurrentSince Dec 1, 2020 Accepting new patients
Wellness by Physicians, Inc. Physical Therapist CurrentSince Sep 1, 2016 Accepting new patients

Locations

24870 S Tamiami Trl
Ste 3
Bonita Springs, FL 34134
Phone (239) 676-3663

12090 Metro Pkwy
Fort Myers, FL 33966

6150 Diamond Centre Ct
Bldg 100
Fort Myers, FL 33912
Phone (239) 768-6896

733 Highway 466
Lady Lake, FL 32159
Phone (352) 205-7702

773 Highway 466
Lady Lake, FL 32159
Phone (321) 274-1864

5668 Strand Ct
Naples, FL 34110
Phone (239) 590-3883

5762 SW 60th Ave
Ocala, FL 34474
Phone (352) 237-4544

765 W Grant St
Plant City, FL 33563
Phone (813) 743-3701

10 S 9th St
Ste 4
Noblesville, IN 46060

Organizations & group practices 6

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1841340254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1568",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321581568",
            "telephone_number": "352-307-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 SE 177TH PL STE 406",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918973",
            "telephone_number": "352-307-6843",
            "fax_number": "352-307-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERIAS",
        "first_name": "ONSI",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT15932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y064H",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.