Active NPI
Samantha Rao Disparti, PA-C
- Medical Physician Assistant
- Land O Lakes, FL
National Provider Identifier
1902216476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 18135 Atherstone TRL
Land O Lakes, FL 34638-8158 - Phone
- (727) 359-2778
- NPI assigned
- May 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT15128 | FL | |
| Medical Physician Assistant | 363AM0700X | FL | Primary |
Addresses
Primary practice location
18135 Atherstone TRL
Land O Lakes, FL 34638-8158
Mailing address
11061 Bremerton CT
New Port Richey, FL 34654-4698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 S Beach St
Suite 202
Daytona Beach, FL 32114-4409
Phone (888) 506-8836
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT15128 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Visiting Practitioners, LLC | Current | Accepting new patients | |
| Behavioral Health Services of Florida LLC | Current | Accepting new patients |
Locations
140 S Beach St
Ste 202
Daytona Beach, FL 32114
Phone (888) 506-8836
Organizations & group practices 2
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.
-
- Primary Care Nurse Practitioner
- Daytona Beach, FL
- NPI 1265915359
-
- Psychiatric/Mental Health Nurse Practitioner
- Daytona Beach, FL
- NPI 1619649217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1902216476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11061 BREMERTON CT",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346544698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18135 ATHERSTONE TRL",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346388158",
"telephone_number": "727-359-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISPARTI",
"first_name": "SAMANTHA",
"middle_name": "RAO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-05",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT15128",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Land O Lakes, FL
- Rachel Lynn Deweerd
- Amanda M Deweese, MPH, CPH, IBCLC
- Helen E. Dewitt, HELEN DEWITT
- Henry Diaz, PHARM D.
- Disability Care of FL Dba Anew Step LLC
- District School Board of Pasco County
- District School Board of Pasco County
- District School Board of Pasco County
- District School Board of Pasco County
- District School Board of Pasco County
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.