Michael Dana McIntosh, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2004015329 Issued in MO

Practice address

14899 Tamiami TRL Ste 200
North Port, FL 34287-2732

Phone

(561) 688-1844

Fax

(561) 688-1845

NPI assigned

Jun 30, 2006

Last updated

Feb 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

H2O-4-Life Aquatic and Balance Rehab LLCGroup PAC ID 2062850332, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Act Physical Therapy , Inc

  dba ApexNetwork Physical Therapy

  • Physical Therapy Clinic/Center
  • North Port, FL
  • NPI 1134636392

  Physical Therapist

  Medicare reassignment NPD Authorized official
• H2O-4-Life Aquatic and Balance Rehab LLC

  • Occupational Therapist
  • Nokomis, FL
  • NPI 1740044908

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Therapy2You LLC

  • Physical Therapist
  • Rotonda West, FL
  • NPI 1285517169
  Medicare reassignment NPD Authorized official
• Moxie Orthopedic and Balance Center

  • Physical Therapist
  • Sarasota, FL
  • NPI 1508702929
  NPD Authorized official
• Westside Rehab, Inc

  • Physical Therapy Clinic/Center
  • Laurie, MO
  • NPI 1689768855
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1982632576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14899 TAMIAMI TRL STE 200",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872732",
            "telephone_number": "561-688-1844",
            "fax_number": "561-688-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14899 TAMIAMI TRL STE 200",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872732",
            "telephone_number": "561-688-1844",
            "fax_number": "561-688-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "MICHAEL",
        "middle_name": "DANA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2004015329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100982700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon McDade
• Lashaun McDowell-Esaw, APRN
• Shelly McEnroe
• Colleen McGrath
• Sean McGregor, D.M.D
• Grace McKee
• Lauren McKevitt, DPT
• Rhonda Anne McLaughlin
• Shalyn McNett
• Larisa Meleks, DO

• Physical Therapist in North Port, FL
• Providers in North Port, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.