Active NPI
Sofia Konstantinidis
- Physical Therapist
- Seminole, FL
National Provider Identifier
1285346122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39085
- Practice address
- 13857 Oak Forest Blvd N
Seminole, FL 33776-3416 - Phone
- (727) 249-9105
- NPI assigned
- Dec 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 39085 | FL | Primary |
Addresses
Primary practice location
13857 Oak Forest Blvd N
Seminole, FL 33776-3416
Mailing address
2896 Chancery LN
Clearwater, FL 33759-1435
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | S.konstantinidis@usa.edu |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39085 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Dragonfly Therapy LLC | Physical Therapist | Current | Accepting new patients |
Interoperability endpoints
- s.konstantinidis@usa.edu
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1285346122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2896 CHANCERY LN",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337591435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13857 OAK FOREST BLVD N",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337763416",
"telephone_number": "727-249-9105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONSTANTINIDIS",
"first_name": "SOFIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-22",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "39085",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "S.konstantinidis@usa.edu",
"affiliation": "N",
"address_1": "13857 Oak Forest Blvd N",
"city": "Seminole",
"state": "FL",
"country_code": "US",
"postal_code": "337763416",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.