Individual provider Active NPI

Paul William Cotta, PT

  • Physical Therapist
  • Hernando, FL
National Provider Identifier
1821175548
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16097 Issued in FL
Practice address
3602 N Chandler Dr
Hernando, FL 34442-3758
Phone
(352) 342-7144
Fax
(352) 419-4664
NPI assigned
Nov 1, 2006
Last updated
Jul 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT16097 FL Primary

Addresses

Primary practice location

3602 N Chandler Dr
Hernando, FL 34442-3758

Mailing address

3602 N Chandler Dr
Hernando, FL 34442-3758
Phone (352) 342-7144

Other identifiers 1

IdentifierTypeStateIssuer
Y7841YOtherFLMEDICARE

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida First Care, Inc. Past Accepting new patients
Advanced Physical Therapy of Central Florida Inc Physical Therapist PastSince Nov 27, 2013 Accepting new patients
Abbey Rehabilitation Specialists of Lake County Inc Physical Therapist Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1821175548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 N CHANDLER DR",
            "city": "HERNANDO",
            "state": "FL",
            "postal_code": "344423758",
            "telephone_number": "352-342-7144",
            "fax_number": "352-419-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 N CHANDLER DR",
            "city": "HERNANDO",
            "state": "FL",
            "postal_code": "344423758",
            "telephone_number": "352-342-7144",
            "fax_number": "352-419-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTA",
        "first_name": "PAUL",
        "middle_name": "WILLIAM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT16097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Y7841Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hernando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.