Glenda Alicia Kiziltan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30852 Issued in FL

Practice address

13550 S Jog Rd # 100
Delray Beach, FL 33446-3808

Phone

(561) 300-1999

NPI assigned

Feb 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1093309270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 W SAMPLE RD APT 205",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673240",
            "telephone_number": "954-646-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 S JOG RD # 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463808",
            "telephone_number": "561-300-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZILTAN",
        "first_name": "GLENDA",
        "middle_name": "ALICIA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roderick Allan King, M.D.
• Shawna Claire Kingsley-Scott
• Robert Stephen Kippelman, DDS
• Steven Benjamin Kirschner, M.D.
• Shmuel Kissin, DDS
• Andrew M Klapper, M.D.
• Jaclyn Paciaroni Klauder, RDN, LD
• Andrea Kleinbauer, RDN
• David Kleinman, MD
• KM Facial Plastics

• Physical Therapy Assistant in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.