Diana Kaneti Mladenova, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA20982 Issued in FL

Practice address

900 Imperial Golf Course Blvd
Naples, FL 34110-1085

Phone

(239) 591-4800

NPI assigned

Mar 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1659679587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10232 KENTUCKY ST",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 IMPERIAL GOLF COURSE BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101085",
            "telephone_number": "239-591-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANETI MLADENOVA",
        "first_name": "DIANA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA20982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin Lee Kanar, M.D.
• Nicole Kanaras, LCSW
• Joseph Kandel, M.D.
• Gina Kane, MA, NCC, LMHC
• Patrick Michael Kane, M.D.
• Mary Beth Kansora, M.D.
• Basha Kaplan, PSY.D.
• Daniel Bruce Kaplan, D.O.
• Robert J Kaplan, D.O.
• Stanley Kaplan, MD

• Physical Therapy Assistant in Naples, FL
• Providers in Naples, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.