Individual provider Active NPI

Prabudini Kumari Mapa, PT, DPT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1013684851
Registry record updated Aug 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34247 Issued in FL
Practice address
8455 W Linebaugh Ave
Tampa, FL 33625-3729
Phone
(813) 600-1550
NPI assigned
Aug 28, 2021
Last updated
Aug 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT34247 FL Primary

Addresses

Primary practice location

8455 W Linebaugh Ave
Tampa, FL 33625-3729

Mailing address

28808 Hanging Moss Loop
Wesley Chapel, FL 33543-6476
Phone (847) 921-1592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210928001218 FL Practitioner - Physical Therapist in Private Practice 3173920543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

26830 Ridgebrook Dr
Suite 102
Wesley Chapel, FL 33544-6464
Phone (813) 345-4915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Performance and Physical Therapies Wesley Chapel, LLC Physical Therapist CurrentSince Jun 19, 2023 Accepting new patients
Holistic Psychology Services, LLC PastSince Sep 5, 2021 Accepting new patients

Locations

21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234

26830 Ridgebrook Dr
Ste 102
Wesley Chapel, FL 33544
Phone (813) 345-4915

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1013684851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28808 HANGING MOSS LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335436476",
            "telephone_number": "847-921-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253729",
            "telephone_number": "813-600-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPA",
        "first_name": "PRABUDINI",
        "middle_name": "KUMARI",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-28",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.