Organization Active NPI

Btdo Health, LLC

  • Physical Medicine & Rehabilitation Physician
  • Atlantis, FL
National Provider Identifier
1871374132
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
BTDO HEALTH, LLC
Practice address
5301 S Congress Ave
Atlantis, FL 33462-1149
Phone
(561) 965-7300
NPI assigned
Oct 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Bryant Le VuongNPI 1598905754
Title
Owner
Phone
(305) 204-6595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

5301 S Congress Ave
Atlantis, FL 33462-1149

Mailing address

12290 Canal Grande Dr
Fort Myers, FL 33913-9495
Phone (305) 204-6595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231205000942 FL Part B Supplier - Clinic/Group Practice 2860840634 Receives reassigned benefits from 1 practitioner
Practice locations: Atlantis, FL

National Provider Directory

National Provider Directory

Locations

1202 SW 17th St
Ste 201
Ocala, FL 34471

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1871374132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12290 CANAL GRANDE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339139495",
            "telephone_number": "305-204-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 S CONGRESS AVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621149",
            "telephone_number": "561-965-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BTDO HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "VUONG",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_middle_name": "LE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-204-6595"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.