Individual provider Active NPI

Christopher Pasqual, DPT

  • Physical Therapist
  • Clearwater, FL
National Provider Identifier
1841768900
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34043 Issued in FL
Practice address
612 Druid Rd E Ste D
Clearwater, FL 33756-3912
Phone
(727) 475-5543
NPI assigned
Nov 7, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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 PT34043 FL Primary

Addresses

Primary practice location

612 Druid Rd E Ste D
Clearwater, FL 33756-3912

Mailing address

3903 Northdale Blvd Ste 111W
Tampa, FL 33624-1853

Other identifiers 1

IdentifierTypeStateIssuer
PT34043OtherFLPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181207001022 FL Practitioner - Physical Therapist in Private Practice 5698019222 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 15, 2022 Accepting new patients
Westchase Physical Therapy and Medical Supply LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients
Westchase Physical Therapy and Medical Supply LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients
Optimal Performance and Physical Therapies Palm Harbor LLC Physical Therapist PastSince Nov 19, 2018 Accepting new patients

Locations

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

12625 Race Track Rd
Westchase, FL 33626
Phone (813) 343-3960

12705 Race Track Rd
Westchase, FL 33626
Phone (813) 343-3960

Organizations & group practices 4

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": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1841768900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 NORTHDALE BLVD STE 111W",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 DRUID RD E STE D",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563912",
            "telephone_number": "727-475-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASQUAL",
        "first_name": "CHRISTOPHER",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT34043",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.