Individual provider Active NPI

Steven Mariano Kiag, P.T.

  • Physical Therapist
  • St Petersburg, FL
National Provider Identifier
1366595498
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 7410 Issued in FL
Practice address
5535 Park St N
St Petersburg, FL 33709-6309
Phone
(727) 209-0579
Fax
(727) 209-0580
NPI assigned
Jan 20, 2007
Last updated
Sep 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 7410 FL Primary

Addresses

Primary practice location

5535 Park St N
St Petersburg, FL 33709-6309

Mailing address

40 66TH St N
St Petersburg, FL 33710-8408
Phone (727) 345-3346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406001587 FL Practitioner - Physical Therapist in Private Practice 7517950447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 66TH St N
St Petersburg, FL 33710-8408

5535 Park St N
St Petersburg, FL 33709-6309

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as group
Quality
94.53
Improvement activities
40
Cost
77.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 7410FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cora Health Services, Inc CurrentSince Jan 16, 2026 Accepting new patients
Cora Health Services, Inc. CurrentSince Jan 16, 2026 Accepting new patients

Locations

40 66th St N
St Petersburg, FL 33710
Phone (727) 345-3346

5535 Park St N
St Petersburg, FL 33709
Phone (727) 209-0579

1114 Bichara Blvd
The Villages, FL 32159
Phone (352) 557-0832

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1366595498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108408",
            "telephone_number": "727-345-3346",
            "fax_number": "727-345-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337096309",
            "telephone_number": "727-209-0579",
            "fax_number": "727-209-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIAG",
        "first_name": "STEVEN",
        "middle_name": "MARIANO",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 7410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.

Verify at the official NPI Registry.