Individual provider Active NPI

Kirun Kadiwar

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1497630628
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT43488 Issued in FL
Practice address
6633 Gunn Hwy
Tampa, FL 33625-4056
Phone
(813) 519-0604
NPI assigned
Aug 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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 PT43488 FL Primary

Addresses

Primary practice location

6633 Gunn Hwy
Tampa, FL 33625-4056

Mailing address

21756 State Road 54 Ste 102
Lutz, FL 33549-2905
Phone (727) 475-5540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251005000167 FL Practitioner - Physical Therapist in Private Practice 7113423484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimal Performance and Physical Therapies Northdale LLCGroup PAC ID 0749317709, shared by 2 NPIs, 7 clinicians

Practice addresses (Care Compare)

3903 Northdale Blvd
Suite 111W
Tampa, FL 33624-1853
Phone (813) 418-7350

6633 Gunn Hwy
Tampa, FL 33625-4056
Phone (813) 519-0604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Performance and Physical Therapies Northdale LLC Physical Therapist CurrentSince Aug 18, 2025 Accepting new patients
Optimal Performance and Physical Therapies Northdale LLC Physical Therapist CurrentSince Sep 13, 2025 Accepting new patients

Locations

21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234

3903 Northdale Blvd
Ste 111W
Tampa, FL 33624
Phone (813) 381-6778

6633 Gunn Hwy
Tampa, FL 33625
Phone (813) 519-0604

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1497630628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21756 STATE ROAD 54 STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492905",
            "telephone_number": "727-475-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254056",
            "telephone_number": "813-519-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADIWAR",
        "first_name": "KIRUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT43488",
            "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 Aug 7, 2025; 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.