DEEP CREEK PHYSICAL THERAPY INC
NPI 1780467969
Physical Therapist in Port Charlotte, FL

Active since August 14, 2023
18245 PAULSON DR, PORT CHARLOTTE, FL 33954(941) 264-8215 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2024, Aug 15, 2023 (2 updates tracked since 2023).

About Deep Creek Physical Therapy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEEP CREEK PHYSICAL THERAPY INC (NPI 1780467969) is a healthcare organization registered as a physical therapist in Port Charlotte, Florida and active in the NPI registry since August 2023. The organization lists Robert Allen Dolata, Physical Therapist/owner, as its authorized official.

NPPES Registry Identity

NPI1780467969
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameDEEP CREEK PHYSICAL THERAPY INC
Location Address18245 PAULSON DRPort Charlotte, FL 33954-1019
Mailing Address18245 Paulson DrPort Charlotte, FL 33954-1019 · (941) 264-8215
Organization SubpartNo
Authorized OfficialRobert Allen DolataPhysical Therapist/owner · (941) 264-8215
Enumeration DateAugust 14, 2023
Last NPPES UpdateJanuary 3, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
✔ NPI 1780467969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
18245 PAULSON DR, Port Charlotte, FL 33954

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deep Creek Physical Therapy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Deep Creek Physical Therapy Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1265483945
744 THE RIALTO
Venice, FL 34285
(941) 484-5500
✔ Accepts Medicare19 mi
Occupational Therapist in Private Practice
NPI 1376716456
1660 MEDICAL BLVD STE 200
Naples, FL 34110
(239) 449-3072
✔ Accepts Medicare56 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deep Creek Physical Therapy Inc's NPI number?

The NPI number for Deep Creek Physical Therapy Inc is 1780467969. It was assigned to this organization in the NPPES registry on August 14, 2023.

Where is Deep Creek Physical Therapy Inc located?

Deep Creek Physical Therapy Inc is located at 18245 Paulson Dr, Port Charlotte, FL 33954. The listed phone number is (941) 264-8215.

What is Deep Creek Physical Therapy Inc's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Deep Creek Physical Therapy Inc enrolled in Medicare?

Yes. Deep Creek Physical Therapy Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deep Creek Physical Therapy Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Deep Creek Physical Therapy Inc, in Occupational Therapist in Private Practice and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Deep Creek Physical Therapy Inc was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.