Unknown Individual – Physical Therapist, NPI 1720204084

Unknown Individual is a healthcare provider. based in Eustis, Florida. specializing in Physical Therapist. They hold a License No. PT004658 (GA). The NPI Number for Unknown Individual is 1720204084

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720204084
Phone
(352) 383-7800
Address
509 JACKSON ST
Deactivation Date
8 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 509 JACKSON ST

    EUSTIS, FL 327264526

    Phone: (352) 383-7800

    Type: Mailing

  • 600 W NORTH BLVD

    SUITE D

    LEESBURG, FL 347485063

    Phone: (352) 787-9300

    Type: Location

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.

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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 32726)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1720204084 — the number used across U.S. healthcare to identify this provider.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Eustis, Florida as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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