Active NPI
Bhawna Malik, DPT, PT
- Physical Therapist
- Orlando, FL
National Provider Identifier
1104256098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT28607
- Practice address
- 5364 Penway Dr
Orlando, FL 32814-6714 - Phone
- (352) 874-7620
- NPI assigned
- Nov 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | PT28607 | FL | Primary |
Addresses
Primary practice location
5364 Penway Dr
Orlando, FL 32814-6714
Mailing address
5364 Penway Dr
Orlando, FL 32814-6714
Phone (352) 874-7620
Other practice location 1
443 Plaza Dr
Eustis, FL 32726-6523
Phone (352) 589-5595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68-6515 | Other | FL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.26 of 100
- Quality
- 86.58
- Improvement activities
- 40
- Cost
- 68.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627
Networks
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Jacksonville, FL
- NPI 1114542032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1104256098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5364 PENWAY DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328146714",
"telephone_number": "352-874-7620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5364 PENWAY DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328146714",
"telephone_number": "352-874-7620"
}
],
"practiceLocations": [
{
"address_1": "443 Plaza Dr",
"address_purpose": "LOCATION",
"city": "Eustis",
"state": "FL",
"postal_code": "327266523",
"country_code": "US",
"telephone_number": "352-589-5595",
"fax_number": "352-589-5747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALIK",
"first_name": "BHAWNA",
"name_prefix": "Dr.",
"credential": "DPT, PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-14",
"last_updated": "2023-01-04",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT28607",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "68-6515",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.