Individual provider Active NPI

Ola Fadaly, PT

  • Physical Therapist
  • Temple Terrace, FL
National Provider Identifier
1508934084
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT11142 Issued in FL
Practice address
9222 Overlook Dr
Temple Terrace, FL 33617-5422
Phone
(813) 988-9957
Fax
(813) 899-2612
NPI assigned
Dec 1, 2006
Last updated
Nov 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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 PT11142 FL Primary

Addresses

Primary practice location

9222 Overlook Dr
Temple Terrace, FL 33617-5422

Mailing address

9222 Overlook Dr
Temple Terrace, FL 33617-5422
Phone (813) 988-9957

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121126000590 FL Practitioner - Physical Therapist in Private Practice 6800897695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Rehability at Home, LLC Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Amal Rehab Care,Inc. Physical Therapist CurrentSince May 15, 2012 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1508934084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9222 OVERLOOK DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175422",
            "telephone_number": "813-988-9957",
            "fax_number": "813-899-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9222 OVERLOOK DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175422",
            "telephone_number": "813-988-9957",
            "fax_number": "813-899-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADALY",
        "first_name": "OLA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT11142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.