Active NPI
Robin Helene Maltenfort, PTA
- Physical Therapy Assistant
- Tampa, FL
National Provider Identifier
1750900445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 28780
- Practice address
- 4411 N Habana Ave
Tampa, FL 33614-7211 - Phone
- (813) 832-2771
- NPI assigned
- Apr 13, 2020
- 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 Therapy Assistant | 225200000X | 28780 | FL | Primary |
Addresses
Primary practice location
4411 N Habana Ave
Tampa, FL 33614-7211
Mailing address
29818 Morwen PL
Wesley Chapel, FL 33543-6770
Phone (813) 766-8002
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 |
|---|---|---|---|
| 28780 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586736000000",
"number": "1750900445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29818 MORWEN PL",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335436770",
"telephone_number": "813-766-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 N HABANA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147211",
"telephone_number": "813-832-2771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALTENFORT",
"first_name": "ROBIN",
"middle_name": "HELENE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-13",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "28780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.