Active NPI
Ola Fadaly, PT
- Physical Therapist
- Temple Terrace, FL
National Provider Identifier
1508934084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT11142
- 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, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121126000590 | FL | Practitioner - Physical Therapist in Private Practice | 6800897695 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Rehability at Home, LLC | Physical Therapist | Current | Accepting new patients |
| Amal Rehab Care,Inc. | Physical Therapist | Current | 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.
-
- Physical Therapist
- Temple Terrace, FL
- NPI 1548531387
-
- Physical Therapist
- Oldsmar, FL
- NPI 1932643780
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
- Esoterix Genetic Laboratories, LLC
- Elriane Miline Eugene, APRN
- Excel Community Behavioral Health Services, LLC
- Evelyn Exposito Gonzalez, MD
- Cortez Rafel Fabia, FNP
- Alta Faison
- Linda Falzetta, ARNP
- Family & Cosmetic Dentistry of Temple Terrace, PA
- Family and Cosmetic Dentistry of Temple Terrace
- Family Hearing Center, LLC
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.