Active NPI
Zoltan Bouwhuis, BSCPT, CLT
- Physical Therapist
- St Petersburg, FL
National Provider Identifier
1467700922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6956
- Practice address
- 820 20TH Ave N
St Petersburg, FL 33704-4246 - Phone
- (727) 896-8818
- NPI assigned
- Aug 15, 2012
- 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 | PT6956 | FL | Primary |
Addresses
Primary practice location
820 20TH Ave N
St Petersburg, FL 33704-4246
Mailing address
820 20TH Ave N
St Petersburg, FL 33704-4246
Phone (727) 896-8818
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 |
|---|---|---|---|
| PT6956 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1467700922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 20TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337044246",
"telephone_number": "727-896-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 20TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337044246",
"telephone_number": "727-896-8818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUWHUIS",
"first_name": "ZOLTAN",
"name_prefix": "Mr.",
"credential": "BSCPT, CLT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-15",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT6956",
"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 Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.