Individual provider Active NPI

James Donald Male, P.T.A.

  • Physical Therapy Assistant
  • Tampa, FL
National Provider Identifier
1497973945
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
12425 Race Track Rd
Tampa, FL 33626-3118
Phone
(866) 416-5202
NPI assigned
Apr 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 000918 CT
Physical Therapy Assistant 225200000X 005467 NY
Physical Therapy Assistant 225200000X 2037 SC
Physical Therapy Assistant 225200000X A3382 NC
Physical Therapy Assistant 225200000X 2306602097 VA
Physical Therapy Assistant 225200000X IL Primary

Addresses

Primary practice location

12425 Race Track Rd
Tampa, FL 33626-3118

Mailing address

PO Box 1603
Buffalo, NY 14213-7603
Phone (716) 517-5043

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

LicenseStateTypeSpecialty
2037SCMDGeneral Practice Dentistry
005467NYMDPrimary Podiatric Medicine Podiatrist
160004561ILMDPhysical Therapy Assistant
A3382NCMDPhysical Therapy Assistant
2306602097VAMDPhysical Therapy Assistant
000918CTMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1497973945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1603",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142137603",
            "telephone_number": "716-517-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 RACE TRACK RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263118",
            "telephone_number": "866-416-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALE",
        "first_name": "JAMES",
        "middle_name": "DONALD",
        "name_prefix": "Mr.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "000918",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "005467",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2037",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A3382",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306602097",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": null,
            "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 Sep 11, 2025; 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.