Individual provider Active NPI

Tanya Czeban, MPT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1467771980
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23528 Issued in FL
Practice address
18315 Bridle Club Dr
Tampa, FL 33647-1783
Phone
(813) 528-3942
NPI assigned
May 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2010

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 PT23528 FL Primary

Addresses

Primary practice location

18315 Bridle Club Dr
Tampa, FL 33647-1783

Mailing address

18315 Bridle Club Dr
Tampa, FL 33647-1783
Phone (813) 528-3942

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

LicenseStateTypeSpecialty
PT23528FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Valley Central School Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1467771980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18315 BRIDLE CLUB DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471783",
            "telephone_number": "813-528-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18315 BRIDLE CLUB DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471783",
            "telephone_number": "813-528-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZEBAN",
        "first_name": "TANYA",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.