Active NPI
Julia Noga
- Physical Therapist
- Winter Haven, FL
National Provider Identifier
1114228491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25535
- Practice address
- 1491 6TH St NW
Winter Haven, FL 33881-2365 - Phone
- (863) 293-7778
- Fax
- (863) 299-3836
- NPI assigned
- Nov 3, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 25535 | FL | Primary |
Addresses
Primary practice location
1491 6TH St NW
Winter Haven, FL 33881-2365
Mailing address
313 N 31St Ave
Hollywood, FL 33021-7005
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25535 | FL | MD | Psychiatric Pharmacist |
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports and Orthopedic Rehabilitation Services Inc | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- 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 Therapy Clinic/Center
- Riverview, FL
- NPI 1841981073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1114228491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 N 31ST AVE",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330217005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1491 6TH ST NW",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338812365",
"telephone_number": "863-293-7778",
"fax_number": "863-299-3836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOGA",
"first_name": "JULIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-03",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "25535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.