Individual provider Active NPI

Daniel J Vaknin

  • Physical Therapy Assistant
  • Ocala, FL
National Provider Identifier
1508203464
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA20823 Issued in FL
Practice address
4511 SW 48TH Ave
Ocala, FL 34474-9626
Phone
(866) 236-1808
Fax
(866) 236-1808
NPI assigned
May 31, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA20823 FL Primary

Addresses

Primary practice location

4511 SW 48TH Ave
Ocala, FL 34474-9626

Mailing address

5510 SW 41St Blvd
Suite 202
Gainesville, FL 32608-4977
Phone (855) 297-8326

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

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1508203464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 SW 41ST BLVD",
            "address_2": "SUITE 202",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326084977",
            "telephone_number": "855-297-8326",
            "fax_number": "888-503-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 SW 48TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344749626",
            "telephone_number": "866-236-1808",
            "fax_number": "866-236-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAKNIN",
        "first_name": "DANIEL",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA20823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.