Individual provider Active NPI

Ma. Joanelyn Mahinay Sta. Maria

  • Physical Therapist
  • Winter Park, FL
National Provider Identifier
1083142012
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1290740 Issued in FL
Practice address
925 S Semoran Blvd Ste 110a
Winter Park, FL 32792
Phone
(800) 521-9604
NPI assigned
Jun 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 1290740 FL Primary

Addresses

Primary practice location

925 S Semoran Blvd Ste 110a
Winter Park, FL 32792

Mailing address

3433 Arden Rd Apt 309
San Angelo, TX 76901-2753
Phone (954) 798-5937

Other practice location 1

925 S Semoran Blvd Ste 110A
Winter Park, FL 32792-5313
Phone (800) 521-9604

Other practice location 2

925 S Semoran Blvd Ste 110A
Winter Park, FL 32792-5313
Phone (800) 521-9604

Other practice location 3

925 S Semoran Blvd Ste 110A
Winter Park, FL 32792-5313
Phone (800) 521-9604

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

LicenseStateTypeSpecialty
1290740FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083142012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 ARDEN RD APT 309",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769012753",
            "telephone_number": "954-798-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S SEMORAN BLVD STE 110A",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32792",
            "telephone_number": "800-521-9604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 S Semoran Blvd Ste 110A",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327925313",
            "country_code": "US",
            "telephone_number": "800-521-9604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 S Semoran Blvd Ste 110A",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327925313",
            "country_code": "US",
            "telephone_number": "800-521-9604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 S Semoran Blvd Ste 110A",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327925313",
            "country_code": "US",
            "telephone_number": "800-521-9604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STA. MARIA",
        "first_name": "MA. JOANELYN",
        "middle_name": "MAHINAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "1290740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.