Individual provider Active NPI

Richard Howard Haupt, PT

  • Physical Therapist
  • Nokomis, FL
National Provider Identifier
1962785519
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
FL-18994 Issued in FL
Practice address
874 Hillcrest Dr
Nokomis, FL 34275-2374
Phone
(941) 412-0869
NPI assigned
Sep 20, 2011
Last updated
Sep 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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 FL-18994 FL Primary

Addresses

Primary practice location

874 Hillcrest Dr
Nokomis, FL 34275-2374

Mailing address

874 Hillcrest Dr
Nokomis, FL 34275-2374

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120210000439 FL Practitioner - Physical Therapist in Private Practice 1153588082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rick Haupt Physical Therapy IncGroup PAC ID 9335306257, 4 clinicians

Practice addresses (Care Compare)

2620 S Tamiami TRL
Sarasota, FL 34239-4517
Phone (941) 955-1239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
FL-18994FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rick Haupt Physical Therapy Inc Physical Therapist CurrentSince Nov 1, 2011 Accepting new patients
Venice Physical Therapy and Sports Medicine Inc CurrentSince Mar 1, 2021 Accepting new patients
Progressive Rehabilitation Agency, Inc. PastSince Mar 1, 2021 Accepting new patients

Locations

2620 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 758-3140

2620 S Tamiami Trl
Fl 3
Sarasota, FL 34239

2620 S Tamiami Trl
Ste 3
Sarasota, FL 34239

2999 S Tamiami Trl
Ste 2
Sarasota, FL 34239
Phone (941) 955-1239

1776 S Tamiami Trl
Venice, FL 34293
Phone (941) 408-7476

201 Center Rd
Ste 200
Venice, FL 34285
Phone (941) 408-7476

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": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1962785519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 HILLCREST DR",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342752374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 HILLCREST DR",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342752374",
            "telephone_number": "941-412-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUPT",
        "first_name": "RICHARD",
        "middle_name": "HOWARD",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "FL-18994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nokomis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.