Individual provider Active NPI

Gregory Manuel Coya, PTA

  • Physical Therapy Assistant
  • Land O Lakes, FL
National Provider Identifier
1124595897
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
18401 Issued in FL
Practice address
4517 Clarkwood CT
Land O Lakes, FL 34639-4094
Phone
(813) 310-4678
Fax
(813) 996-2927
NPI assigned
Oct 30, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 18401 FL Primary

Addresses

Primary practice location

4517 Clarkwood CT
Land O Lakes, FL 34639-4094

Mailing address

4517 Clarkwood CT
Land O Lakes, FL 34639-4094
Phone (813) 310-4678

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
18401FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1124595897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 CLARKWOOD CT",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346394094",
            "telephone_number": "813-310-4678",
            "fax_number": "813-996-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 CLARKWOOD CT",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346394094",
            "telephone_number": "813-310-4678",
            "fax_number": "813-996-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYA",
        "first_name": "GREGORY",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-30",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "18401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; 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.