Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1356750038

Physical Medicine & Rehabilitation Physician

Unknown Individual is a healthcare provider. based in St petersburg, Florida. specializing in Physical Medicine & Rehabilitation Physician. They hold a License No. MD462019 (PA). The NPI Number for Unknown Individual is 1356750038

Main info

Organization

Inactive

12 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1356750038

Phone

(727) 527-1919

Address

4650 4TH ST N

Deactivation Date

27 September 2021

Doctor Profile

Medical School Name

ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY

Secondary Phone

7275486100

Graduation Year

2014 (12 years ago)

PAC ID

5991052755

Group Practice PAC ID

8224195235

Professional Enrollment ID

I20191029002871

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience14

Completeness75

Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

4650 4TH ST N
ST PETERSBURG, FL 337033802
Phone: (727) 527-1919
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 8224195235View full group profile

Name	Specialty	State
SARDHA M PERERA (MD)	Anesthesiology, Interventional Pain Management	FL
DR. ROBERT RANDOLPH BUTTS (PSY.D.)	Clinical Psychologist	FL
DR. JOSEPH JAMES ALSHON (D.O.)	Interventional Pain Management, Pain Management, Physical Medicine And Rehabilitation	FL
KAZI M HASSAN (MD)	Interventional Pain Management, Anesthesiology	FL

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?

The federal identifier for Unknown Individual is NPI 1356750038.

What is the next step if Unknown Individual is inactive?

Treat inactive as a signal to verify Unknown Individual through official channels.

Does Unknown Individual list a primary specialty?

If you are matching referrals, note Physical Medicine & Rehabilitation Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.

Does Unknown Individual practice in Florida?

You will see St Petersburg, Florida on file for Unknown Individual alongside any extra practice locations.

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.