Brian Null, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA26087 Issued in FL

Practice address

4501 Waterman Way
Tavares, FL 32778

Phone

(843) 995-4529

NPI assigned

Jul 27, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1225515661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 CATTLEMEN RD UNIT 2110",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326293",
            "telephone_number": "843-995-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 WATERMAN WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "32778",
            "telephone_number": "843-995-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NULL",
        "first_name": "BRIAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-27",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-254526",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA26087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Nguyen
• Tu Nhi Ngoc Nguyen, DMD
• Yen Nhi Nguyet Nguyen, PHARMD
• Elefterios T Nikolaidis, M.D.
• Peter Douglas Nordstrom, LMHC
• O W S Medical LLC
• O W S Medical, LLC (Mid Lake Foot and Ankle)
• Christopher Nathan O'Bryan, MSW, RCSWI
• Devlin O'Connor, D.O.
• Erin Catherine O'Connor, MS

• Physical Therapy Assistant in Tavares, FL
• Providers in Tavares, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.