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

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

Other identifiers 2

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Sarasota Physical Medicine Inc

  • 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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "PT0012183",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y6975",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mathew Mehrdad Moshirfar DPM PA
• Dilip Job Mathew, MD
• Jerry Mathew, M.D.
• 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.