Mandy Sue Huster, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT30943 Issued in FL

Practice address

11375 Big Bend Rd
Riverview, FL 33579-7183

Phone

(813) 805-8167

NPI assigned

Feb 16, 2010

Last updated

Jun 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1144542341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 NORTHDALE BLVD",
            "address_2": "STE 111W",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241864",
            "telephone_number": "813-381-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11375 BIG BEND RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797183",
            "telephone_number": "813-805-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTER",
        "first_name": "MANDY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-16",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30943",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT 30943",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL2220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Davis Hulse, PT, DPT, ATC
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• Rylee Humphries
• Kelley Hunt, M.S., OTR/L
• Myriame Casimir Hunt, MD
• Elise Hutchinson, APRN
• James Hutchinson, CSFA
• Melissa McAllister Hutton, MSN, CRNP, ARNP
• Kevin Huynh, DO
• Icare Psychiatry PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.