Maral Javadifar, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

34584 Issued in FL

Practice address

1 Buccaneer PL
Tampa, FL 33607-5701

Phone

(917) 939-2022

NPI assigned

Aug 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1114303112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4084 UNIVERSITY DR",
            "address_2": "SUITE 103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306803",
            "telephone_number": "703-896-9999",
            "fax_number": "703-896-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BUCCANEER PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075701",
            "telephone_number": "917-939-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVADIFAR",
        "first_name": "MARAL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209658",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "34584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "2305209658",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason a. Tompkins, LCSW
• Jasonbrothschildmdpa
• Heather Jasper, PSYD
• Neeraja Jasthi, DMD
• Cresha Rene Jaurequi, APRN
• Christina Tan Javete, MS
• Jawan Ayer MD, LLC
• Jaxoms, P.a.
• Patricia Ann Jay, ARNP
• Jayant C Gajera, M.D., P.a.

• Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.