Individual provider Active NPI

Adisa Stranjac, DPT

  • Physical Therapist
  • Bradenton, FL
National Provider Identifier
1063762474
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305207564 Issued in VA
Practice address
2227 59TH St W Manatee Medical Specialists
Dba Palma Sola Medical Associates
Bradenton, FL 34209-7417
Phone
(941) 795-5922
Fax
(941) 761-3041
NPI assigned
Sep 12, 2012
Last updated
May 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 035055-1 NY
Physical Therapist 225100000X 2305207564 VA Primary

Addresses

Primary practice location

2227 59TH St W Manatee Medical Specialists
Dba Palma Sola Medical Associates
Bradenton, FL 34209-7417

Mailing address

2227 59TH St W Manatee Medical Specialists
Dba Palma Sola Medical Associates
Bradenton, FL 34209-7417
Phone (941) 795-5922

Other identifiers 1

IdentifierTypeStateIssuer
939933298OtherNYSTATE LICENSE #

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

LicenseStateTypeSpecialty
035055-1NYMDPhysical Therapist
2305207564VAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1063762474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 59TH ST W MANATEE MEDICAL SPECIALISTS",
            "address_2": "DBA PALMA SOLA MEDICAL ASSOCIATES",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097417",
            "telephone_number": "941-795-5922",
            "fax_number": "941-761-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 59TH ST W MANATEE MEDICAL SPECIALISTS",
            "address_2": "DBA PALMA SOLA MEDICAL ASSOCIATES",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097417",
            "telephone_number": "941-795-5922",
            "fax_number": "941-761-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRANJAC",
        "first_name": "ADISA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035055-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "939933298",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.

Verify at the official NPI Registry.