Active NPI
Brian Todd Dingman, PT
- Physical Therapist
- Palm Harbor, FL
National Provider Identifier
1962588012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21719
- Practice address
- 31964 U.S. 19 N.
Palm Harbor, FL 34684 - Phone
- (727) 786-2503
- Fax
- (727) 786-7949
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT21719 | FL | Primary |
Addresses
Primary practice location
31964 U.S. 19 N.
Palm Harbor, FL 34684
Mailing address
4910 Lake Ridge LN
Holiday, FL 34690-5525
Phone (727) 939-4950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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
Practice addresses (Care Compare)
5011 Gate Pkwy
Suite 100
Jacksonville, FL 32256-0830
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021620 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Rehabilitation Today Physical Therapy and Occupational Therapy PLLC | Physical Therapist | Past | Accepting new patients |
| Rehabilitation Today Services for Psychology Et Al PLLC | Past | Accepting new patients |
Locations
5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627
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.
-
- Physical Therapist
- Jacksonville, FL
- NPI 1114542032
-
dba Rehabilitation Today
- Physical Therapist
- Olean, NY
- NPI 1972688653
-
dba Rehabilitation Today Services
- Multi-Specialty Clinic/Center
- Olean, NY
- NPI 1396842811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962588012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 LAKE RIDGE LN",
"city": "HOLIDAY",
"state": "FL",
"postal_code": "346905525",
"telephone_number": "727-939-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31964 U.S. 19 N.",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "34684",
"telephone_number": "727-786-2503",
"fax_number": "727-786-7949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINGMAN",
"first_name": "BRIAN",
"middle_name": "TODD",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT21719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, 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.