Individual provider Active NPI

Eric James Dullmeyer, M.P.T.

  • Physical Therapist
  • Casselberry, FL
National Provider Identifier
1891713806
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 21784 Issued in FL
Practice address
260 Sausalito Blvd
Casselberry, FL 32707-5720
Phone
(407) 671-0433
Fax
(407) 671-2433
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT 21784 FL Primary

Addresses

Primary practice location

260 Sausalito Blvd
Casselberry, FL 32707-5720

Mailing address

260 Sausalito Blvd
Casselberry, FL 32707-5720
Phone (407) 671-0433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050406000649 FL Practitioner - Physical Therapist in Private Practice 2365355849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tript LLCGroup PAC ID 5395792832, 7 clinicians

Practice addresses (Care Compare)

405 Lake Howell Rd
Suite 1031
Maitland, FL 32751-5926
Phone (407) 671-0433

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
86.58
Improvement activities
40
Cost
68.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 21784FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tript, LLC Physical Therapist CurrentSince Jan 21, 2016 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 30, 2022 Accepting new patients
Hispanic Regional Clinics SC Past Accepting new patients

Locations

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

405 Lake Howell Rd
Ste 1031
Maitland, FL 32751
Phone (407) 671-0433

Organizations & group practices 3

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891713806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 SAUSALITO BLVD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075720",
            "telephone_number": "407-671-0433",
            "fax_number": "407-671-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 SAUSALITO BLVD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075720",
            "telephone_number": "407-671-0433",
            "fax_number": "407-671-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULLMEYER",
        "first_name": "ERIC",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 21784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • 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.