Active NPI
Zhan Kadyrov, PT
- Physical Therapist
- Longwood, FL
National Provider Identifier
1396957627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT22344
- Practice address
- 704 State Rd. 434
Suite F
Longwood, FL 32750 - Phone
- (407) 831-6801
- NPI assigned
- May 7, 2007
- Sex
- Male
- 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 Therapist | 225100000X | PT22344 | FL | Primary |
Addresses
Primary practice location
704 State Rd. 434
Suite F
Longwood, FL 32750
Mailing address
145 Tennis CT
Winter Springs, FL 32708-3200
Phone (407) 924-3730
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027859 | NY | MD | Clinical Psychologist |
| PT22344 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396957627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 TENNIS CT",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327083200",
"telephone_number": "407-924-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 STATE RD. 434",
"address_2": "SUITE F",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "32750",
"telephone_number": "407-831-6801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADYROV",
"first_name": "ZHAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT22344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longwood, FL
- Joy & John LLC (J & J pharmacy)
- Jiho Ju, RN
- Leyla Jukarev
- K&R Glowing Pride Residential Services of Florida LLC (K&R Glowing Pride Residential Services of Florida)
- Jennavive Kabler
- Vivian Lizzette Kaiser, APRN
- Cynthia Ann Kaleita, M.A., LMHC
- Ashmeet Kalra, PT
- Judith Ann Kaltenbach, PA-C
- Yvonne C Kamara
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.