NPIMap

Organization Active NPI

Platinum Healthcare Physical Medicine, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Sarasota, FL
National Provider Identifier
1962727230
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME101995 Issued in FL
Legal business name
PLATINUM HEALTHCARE PHYSICAL MEDICINE, PLLC
Practice address
5560 Bee Ridge Rd
Suite7
Sarasota, FL 34233-1508
Phone
(941) 927-1123
Fax
(941) 927-1124
NPI assigned
Mar 30, 2010
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Dr. Tamara Harris Logan, D.C.NPI 1134336902
Title
Employee
Phone
(941) 927-1123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Physical Medicine & Rehabilitation Physician 208100000X ME101995 FL Primary

Addresses

Primary practice location

5560 Bee Ridge Rd
Suite7
Sarasota, FL 34233-1508

Mailing address

5560 Bee Ridge Rd
Suite7
Sarasota, FL 34233-1508
Phone (941) 927-1123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100716000155 FL Part B Supplier - Clinic/Group Practice 8224160973 Receives reassigned benefits from 15 practitioners
Practice locations: North Port, FL; Sarasota, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1962727230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 BEE RIDGE RD",
            "address_2": "SUITE7",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331508",
            "telephone_number": "941-927-1123",
            "fax_number": "941-927-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 BEE RIDGE RD",
            "address_2": "SUITE7",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331508",
            "telephone_number": "941-927-1123",
            "fax_number": "941-927-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM HEALTHCARE PHYSICAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "941-927-1123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME101995",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.