Active NPI
Dana Delene Gualtieri, PTA
- Physical Therapy Assistant
- Wesley Chapel, FL
National Provider Identifier
1285846758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 19080
- Practice address
- 27835 Pleasure Ride Loop
Wesley Chapel, FL 33543-8142 - Phone
- (727) 415-9511
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | 19080 | FL | Primary |
Addresses
Primary practice location
27835 Pleasure Ride Loop
Wesley Chapel, FL 33543-8142
Mailing address
7770 NW 79TH Ave Apt E2
Tamarac, FL 33321-2899
Phone (727) 415-9511
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 |
|---|---|---|---|
| 19080 | FL | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285846758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7770 NW 79TH AVE APT E2",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212899",
"telephone_number": "727-415-9511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27835 PLEASURE RIDE LOOP",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335438142",
"telephone_number": "727-415-9511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUALTIERI",
"first_name": "DANA",
"middle_name": "DELENE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "19080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.