Active NPI
Nils Semjonovs
- Physical Therapist
- Wesley Chapel, FL
National Provider Identifier
1053083790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT37829
- Practice address
- 2818 Cypress Ridge Blvd Ste 100
Wesley Chapel, FL 33544-6306 - Phone
- (973) 619-3722
- NPI assigned
- Sep 30, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT37829 | FL | Primary |
Addresses
Primary practice location
2818 Cypress Ridge Blvd Ste 100
Wesley Chapel, FL 33544-6306
Mailing address
2818 Cypress Ridge Blvd Ste 100
Wesley Chapel, FL 33544-6306
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT37829 | FL | MD | Physical Therapist |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HGBJCD/Endpoint/HGBJCD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1053083790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 CYPRESS RIDGE BLVD STE 100",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335446306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2818 CYPRESS RIDGE BLVD STE 100",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335446306",
"telephone_number": "973-619-3722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEMJONOVS",
"first_name": "NILS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-30",
"last_updated": "2021-09-30",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT37829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.