Individual provider Active NPI

Bhawna Malik, DPT, PT

  • Physical Therapist
  • Orlando, FL
National Provider Identifier
1104256098
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28607 Issued in FL
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

Updated by the provider on Jan 4, 2023

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 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

IdentifierTypeStateIssuer
68-6515OtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
86.58
Improvement activities
40
Cost
68.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 23, 2022 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.

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.

Verify at the official NPI Registry.