Individual provider Active NPI

Stefano Terence Trompeo, PT

  • Physical Therapist
  • Odessa, FL
National Provider Identifier
1992362560
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34377 Issued in FL
Practice address
2040 Short Ave Ste 100
Odessa, FL 33556-3445
Phone
(727) 372-9922
NPI assigned
May 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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 PT34377 FL Primary

Addresses

Primary practice location

2040 Short Ave Ste 100
Odessa, FL 33556-3445

Mailing address

2040 Short Ave Ste 100
Odessa, FL 33556-3445
Phone (352) 616-0809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1992362560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 SHORT AVE STE 100",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563445",
            "telephone_number": "352-616-0809",
            "fax_number": "352-616-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 SHORT AVE STE 100",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563445",
            "telephone_number": "727-372-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROMPEO",
        "first_name": "STEFANO",
        "middle_name": "TERENCE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.