Active NPI
Mary Christine Unger, PTA
- Other Technician
- Weeki Wachee, FL
National Provider Identifier
1003365669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- PTA803
- Practice address
- 14017 Tayco Dr
Weeki Wachee, FL 34614-1852 - Phone
- (727) 906-2719
- NPI assigned
- Sep 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | PTA803 | FL | Primary |
Addresses
Primary practice location
14017 Tayco Dr
Weeki Wachee, FL 34614-1852
Mailing address
14107 Tayco Dr
Weeki Wachee, FL 34614
Phone (727) 906-2719
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA803 | FL | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1003365669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14107 TAYCO DR",
"city": "WEEKI WACHEE",
"state": "FL",
"postal_code": "34614",
"telephone_number": "727-906-2719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14017 TAYCO DR",
"city": "WEEKI WACHEE",
"state": "FL",
"postal_code": "346141852",
"telephone_number": "727-906-2719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNGER",
"first_name": "MARY",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-23",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "FL",
"license": "PTA803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weeki Wachee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.