Individual provider Active NPI

Nadia Gaddis, DPT

  • Pediatric Physical Therapist
  • Brandon, FL
National Provider Identifier
1124545892
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT32992 Issued in FL
Practice address
215 Ware Archway CT
Brandon, FL 33510-3308
Phone
(813) 364-2307
Fax
(813) 200-1789
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT32992 FL Primary

Addresses

Primary practice location

215 Ware Archway CT
Brandon, FL 33510-3308

Mailing address

215 Ware Archway CT
Brandon, FL 33510-3308
Phone (813) 364-2307

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

LicenseStateTypeSpecialty
PT32992FLMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Services, Inc. Pediatrics PastSince Jul 1, 2022 Accepting new patients
Pediatric Therapy Services Inc Pediatrics PastSince Jul 1, 2022 Accepting new patients

Organizations & group practices 2

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": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1124545892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WARE ARCHWAY CT",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103308",
            "telephone_number": "813-364-2307",
            "fax_number": "813-200-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WARE ARCHWAY CT",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103308",
            "telephone_number": "813-364-2307",
            "fax_number": "813-200-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDIS",
        "first_name": "NADIA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT32992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.