Active NPI
Maulika Thakore, PT
- Physical Therapist
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30276
- Practice address
- 875 Wallace CT Ste C
Lake Mary, FL 32746-2161 - Phone
- (407) 710-8956
- Fax
- (407) 732-6597
- NPI assigned
- Nov 16, 2007
- Last updated
- Nov 23, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT30276 | FL | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 5501012430 | MI |
Addresses
Primary practice location
875 Wallace CT Ste C
Lake Mary, FL 32746-2161
Mailing address
5205 Piper LN
Sanford, FL 32771-5465
Phone (813) 843-2401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
875 Wallace CT
Suite C (Unit 1013)
Lake Mary, FL 32746-3274
Phone (813) 843-2401
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501012430 | MI | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regent Therapy Services LLC. | Physical Therapist | Current | Accepting new patients |
| Neil King Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
| Complete Fitness Rehabilitation Inc | Past | Accepting new patients |
Locations
875 Wallace Ct
Unit 1013
Lake Mary, FL 32746
Phone (734) 578-5171
Networks
- Freedom Health HMO Network
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba FYZICAL Therapy & Balance Centers Of Lake Mary
- Physical Therapist
- Lake Mary, FL
- NPI 1659950244
-
- Physical Therapy Clinic/Center
- Troy, MI
- NPI 1477546729
-
- Physical Therapist
- Rochester Hills, MI
- NPI 1275756942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732320000000",
"number": "1356522411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 PIPER LN",
"city": "SANFORD",
"state": "FL",
"postal_code": "327715465",
"telephone_number": "813-843-2401",
"fax_number": "407-732-6597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 WALLACE CT STE C",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462161",
"telephone_number": "407-710-8956",
"fax_number": "407-732-6597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKORE",
"first_name": "MAULIKA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-16",
"last_updated": "2024-11-23",
"certification_date": "2024-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT30276",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MI",
"license": "5501012430",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
- Tender Hearts Enterprises, LLC (Tender Hearts of Bentway Lane)
- Tender Hearts Enterprises, LLC (Tender Hearts of Estates Circle)
- Tender Hearts Enterprises, LLC (Tender Hearts of E Pinewood Ct)
- Stella G Terenteva, ARNP
- Ian LW Terry, L.M.T.
- Nirajkumar Thakore
- Angela Thapa, B.S.
- The Cardiovascular Center, P.a.
- The Childrens Center LLC (Childrens Center For Gastroenterology & Nutrition)
- The Kroger Co (Kroger Health Connect - Lake Mary)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.