Active NPI
Nataliya Voisard
- Physical Therapist
- Lake Wales, FL
National Provider Identifier
1386116887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT36720
- Practice address
- 501 Burns Ave
Lake Wales, FL 33853-3335 - Phone
- (863) 679-3338
- NPI assigned
- Dec 20, 2018
- Last updated
- May 8, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 043851 | NY | |
| Physical Therapist | 225100000X | PT36720 | FL | Primary |
Addresses
Primary practice location
501 Burns Ave
Lake Wales, FL 33853-3335
Mailing address
3030 Westchester Ave
Purchase, NY 10577-2574
Other practice location 1
3030 Westchester ave
Purchase, NY 10577
Phone (914) 831-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT36720 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victory Ridge Academy, Inc. | Physical Therapist | Current | Accepting new patients |
| Arctic Chiropractic Juneau LLC | Physical Therapist | Current | Accepting new patients |
Locations
2243 Jordan Ave
Juneau, AK 99801
Phone (907) 790-3371
501 Burns Ave
Lake Wales, FL 33853
Phone (863) 679-3338
Interoperability endpoints
- kbortcosh@hiemail.healtheconnections.org
Organizations & group practices 2
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": "1545264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1386116887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 WESTCHESTER AVE",
"city": "PURCHASE",
"state": "NY",
"postal_code": "105772574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 BURNS AVE",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338533335",
"telephone_number": "863-679-3338"
}
],
"practiceLocations": [
{
"address_1": "3030 Westchester ave",
"address_purpose": "LOCATION",
"city": "Purchase",
"state": "NY",
"postal_code": "10577",
"country_code": "US",
"telephone_number": "914-831-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOISARD",
"first_name": "NATALIYA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-20",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "043851",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT36720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Wales, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.