Individual provider Active NPI

Matthew Cusumano, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Largo, FL
National Provider Identifier
1902804636
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS8925 Issued in FL
Practice address
2200 W Bay Dr
Largo, FL 33770-1929
Phone
(727) 518-2977
Fax
(727) 518-0010
NPI assigned
Jul 7, 2005
Last updated
Jan 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS8925 FL Primary

Addresses

Primary practice location

2200 W Bay Dr
Largo, FL 33770-1929

Mailing address

2200 W Bay Dr
Largo, FL 33770-1929
Phone (727) 518-2977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Surgery Center of Florida, LLC Current Accepting new patients
Florida Physical Medicine, LLC Current Accepting new patients
Coastal Spine Specialists Past Accepting new patients

Locations

2200 West Bay Dr
Largo, FL 33770
Phone (727) 418-2977

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1902804636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337701929",
            "telephone_number": "727-518-2977",
            "fax_number": "727-518-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337701929",
            "telephone_number": "727-518-2977",
            "fax_number": "727-518-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSUMANO",
        "first_name": "MATTHEW",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS8925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.