Donna M Mathisen, MS, RPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT0012183 Issued in FL

Practice address

1217 S East Ave
Suite 304
Sarasota, FL 34239-2344

Phone

(941) 362-2000

Fax

(941) 362-9114

NPI assigned

Jan 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Boston University School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Sarasota Physical Medicine Inc

  dba Haley Lamourt Chiropractic

  • Internist Chiropractor
  • Sarasota, FL
  • NPI 1225073315
  NPD (past)
• Westcoast Spine Center Sarasota PA

  • Orthopedic Chiropractor
  • Sarasota, FL
  • NPI 1366630139
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881747061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 S EAST AVE",
            "address_2": "SUITE 304",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392344",
            "telephone_number": "941-362-2000",
            "fax_number": "941-362-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 S EAST AVE",
            "address_2": "SUITE 304",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392344",
            "telephone_number": "941-362-2000",
            "fax_number": "941-362-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHISEN",
        "first_name": "DONNA",
        "middle_name": "M",
        "credential": "MS, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT0012183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Mather, CRNA
• Mathew Mehrdad Moshirfar DPM PA
• Dilip Job Mathew, MD
• Abby Mathews
• Pamela Mathis, MED, RD, LD
• Mogageethana Mathuralingam, M.D.
• Larry Matsumoto, M.D.
• Gladys Vanessa Matta Democko
• Brett Mattei, PA-C
• Peter L Mattei IV, M.D.

• Specialist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Specialist in Florida

• 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.
• 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.