Gary J Kotila, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9719 Issued in FL

Practice address

1336 Oakfield Dr
Brandon, FL 33511-4851

Phone

(813) 643-1242

Fax

(813) 643-1246

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kotila Chiropractic Life Center

  • Chiropractor
  • Bingham Farms, MI
  • NPI 1811910821
  NPD (past) Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1770514713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114851",
            "telephone_number": "813-643-1242",
            "fax_number": "813-643-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114851",
            "telephone_number": "813-643-1242",
            "fax_number": "813-643-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTILA",
        "first_name": "GARY",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002841",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleni Kostidakis
• Rajesh Kotak, M.D.
• Kotila Chiropractic Inc
• Kotila Massage & Wellness Inc
• Kotila Spine & Joint Center of Brandon LLC
• Samer Koussayer, MD
• Caitlin Krakower
• Michelle Leigh Kraling
• Daniel John Kramer, D.O.
• Paul Curtis Kranz

• Chiropractor in Brandon, FL
• Providers in Brandon, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.