Active NPI
Jared Michael Malagisi
- Physical Therapist
- Seminole, FL
National Provider Identifier
1699506949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT41643
- Practice address
- 11224 Park Blvd
Seminole, FL 33772-4752 - Phone
- (727) 394-0949
- NPI assigned
- Aug 9, 2024
- Sex
- Male
- Sole proprietor
- No
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 | PT41643 | FL | Primary |
Addresses
Primary practice location
11224 Park Blvd
Seminole, FL 33772-4752
Mailing address
10800 Brighton Bay Blvd NE Apt 8105
St Petersburg, FL 33716-3497
Phone (518) 775-3929
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT41643 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1699506949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10800 BRIGHTON BAY BLVD NE APT 8105",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337163497",
"telephone_number": "518-775-3929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11224 PARK BLVD",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337724752",
"telephone_number": "727-394-0949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALAGISI",
"first_name": "JARED",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT41643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seminole, FL
- Maddox Chiropractic Center LLC
- Joseph S Maddox Jr., DC
- Martha W Maddox, L.M.T.
- Ashkan Mahdavi, D.M.D., M.B.A.
- Mairaj Uddin PLLC
- Donna Malkovich, ARNP
- Hanine Mansour, PHARMD
- Maria Erickson Counseling and Life Solutions
- Maria'S Adult Day Care Center LLC
- Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.