Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1417106196

Physical Medicine & Rehabilitation Physician

Unknown Individual is a healthcare provider. based in Spring hill, Florida. specializing in Physical Medicine & Rehabilitation Physician. They hold a License No. OS2977 (FL). The NPI Number for Unknown Individual is 1417106196

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1417106196

Phone

(352) 686-7325

Address

6455 TOUCAN TRL

Deactivation Date

17 August 2021

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

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Provider Addresses for Unknown Individual

6455, Toucan Trail, Weekiwachee Woodlands, Spring Hill, Hernando County, Florida, 34607, United States
SPRING HILL, FL 346072642
Phone: (352) 686-7325
Fax: (352) 686-7329
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 34607)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?

Yes — Unknown Individual has NPI 1417106196 on file in the registry.

Who updates status for Unknown Individual?

NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.

How would a patient describe Unknown Individual's focus?

For Unknown Individual, the primary taxonomy reads as Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.

Is Unknown Individual associated with Spring Hill?

Public fields place Unknown Individual around Spring Hill, Florida. Always confirm the exact site before visiting.

What does 2 location(s) imply?

2 practice locations appear in the available data.