Individual provider Active NPI

Calita Feagins, PTA

  • Physical Therapy Assistant
  • Tampa, FL
National Provider Identifier
1164806980
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA25757 Issued in FL
Practice address
5108 Eisenhower Blvd
Apt 4207
Tampa, FL 33634-6313
Phone
(404) 783-2155
NPI assigned
Jul 10, 2015
Last updated
Jul 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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 PTA25757 FL Primary

Addresses

Primary practice location

5108 Eisenhower Blvd
Apt 4207
Tampa, FL 33634-6313

Mailing address

PO Box 260142
Tampa, FL 33685-0142
Phone (404) 783-2155

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
PTA25757FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1164806980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260142",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336850142",
            "telephone_number": "404-783-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 EISENHOWER BLVD",
            "address_2": "APT 4207",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336346313",
            "telephone_number": "404-783-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEAGINS",
        "first_name": "CALITA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA25757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.