Individual provider Active NPI

Monika Oosthuyzen

  • Physical Therapy Assistant
  • Defuniak Springs, FL
National Provider Identifier
1649380320
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA20256 Issued in FL
Practice address
931 US Highway 331 S
Unit H
Defuniak Springs, FL 32435-8720
Phone
(850) 892-7644
NPI assigned
Aug 30, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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 PTA20256 FL Primary

Addresses

Primary practice location

931 US Highway 331 S
Unit H
Defuniak Springs, FL 32435-8720

Mailing address

931 US Highway 331 S Ste H
Defuniak Springs, FL 32435-3384
Phone (850) 892-7644

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
PTA20256FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1649380320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 US HIGHWAY 331 S STE H",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324353384",
            "telephone_number": "850-892-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 US HIGHWAY 331 S",
            "address_2": "UNIT H",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324358720",
            "telephone_number": "850-892-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OOSTHUYZEN",
        "first_name": "MONIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA20256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Defuniak Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.