Candice Hull, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA24209 Issued in FL

Practice address

4166 Tamiami TRL Ste a
Port Charlotte, FL 33952-9255

Phone

(941) 766-1110

Fax

(941) 766-1190

NPI assigned

Jun 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rehab 1of Charlotte County, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Port Charlotte, FL
  • NPI 1699866988
  NPD (past)

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1255860227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 ALICEVILLE RD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342880836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4166 TAMIAMI TRL STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529255",
            "telephone_number": "941-766-1110",
            "fax_number": "941-766-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "CANDICE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA24209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICSENCE",
            "identifier": "PTA24209",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Howell, CRNA
• Josie Hoyt
• HQM of Port Charlotte, LLC
• John A Hubicki, PA
• Amanda K Huffman, APRN
• Robert Allen Hull, MD
• Robert Harrison Hummer III, M.D.
• Aneley Yegezu Hundae, MD
• David Joseph Hunnius, D.O.
• James Hutchins, CRNA

• Physical Therapy Assistant in Port Charlotte, FL
• Providers in Port Charlotte, 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 Jun 5, 2017; 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.