Individual provider Active NPI

Brandee Paige Sutphin, PT

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1932290665
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18933 Issued in FL
Practice address
5766 Bronx Avenue
Suite B
Sarasota, FL 34231
Phone
(941) 925-8273
Fax
(941) 925-9027
NPI assigned
Sep 27, 2006
Sex
Female
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 PT18933 FL Primary

Addresses

Primary practice location

5766 Bronx Avenue
Suite B
Sarasota, FL 34231

Mailing address

5766 Bronx Avenue
Suite B
Sarasota, FL 34231
Phone (941) 925-8273

Other identifiers 1

IdentifierTypeStateIssuer
PT18933OtherFLST LIC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050318000155 FL Practitioner - Physical Therapist in Private Practice 7810942299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physio Med of Sarasota IncGroup PAC ID 0547215337, 2 clinicians

Practice addresses (Care Compare)

4165 Clark Rd
Sarasota, FL 34233-2403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physio Med of Sarasota Inc Physical Therapist CurrentSince Oct 22, 2004 Accepting new patients
Physical Therapy in Your Home Inc Past Accepting new patients
Joseph P Hornberger Ms DC PA PastSince Dec 6, 2004 Accepting new patients
Hands-on Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Trinity 5 Inc Physical Therapist PastSince Jul 5, 2020 Accepting new patients
Sunshine Therapy Associates, Inc. Physical Therapist Past Accepting new patients

Locations

4165 Clark Rd
Unit D2
Sarasota, FL 34233

4165 Clark Rd
Ste D2
Sarasota, FL 34233
Phone (941) 925-8273

5766 Bronx Ave
#B
Sarasota, FL 34231
Phone (941) 921-1984

4165 Clark Rd
Sarasota, FL 34233

Organizations & group practices 6

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932290665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5766 BRONX AVENUE",
            "address_2": "SUITE B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34231",
            "telephone_number": "941-925-8273",
            "fax_number": "941-925-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5766 BRONX AVENUE",
            "address_2": "SUITE B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34231",
            "telephone_number": "941-925-8273",
            "fax_number": "941-925-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTPHIN",
        "first_name": "BRANDEE",
        "middle_name": "PAIGE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST LIC",
            "identifier": "PT18933",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, 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.