Active NPI
Duane Donald Hiner, PTA
- Physical Therapy Assistant
- St Petersburg, FL
National Provider Identifier
1811234495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA14102
- Practice address
- 500 7TH Ave S
St Petersburg, FL 33701-4820 - Phone
- (727) 767-4257
- NPI assigned
- Jan 15, 2013
- Sex
- Male
- 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 | PTA14102 | FL | Primary |
Addresses
Primary practice location
500 7TH Ave S
St Petersburg, FL 33701-4820
Mailing address
5521 Shasta Daisy Place
Land O Lakes, FL 34639-6734
Phone (813) 994-8328
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 |
|---|---|---|---|
| PTA14102 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495497600000",
"number": "1811234495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5521 SHASTA DAISY PLACE",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346396734",
"telephone_number": "813-994-8328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 7TH AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014820",
"telephone_number": "727-767-4257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINER",
"first_name": "DUANE",
"middle_name": "DONALD",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-15",
"last_updated": "2017-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA14102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.