Individual provider Active NPI

Gina Paola Tapias, PTA

  • Physical Therapy Assistant
  • Port Saint Lucie, FL
National Provider Identifier
1821223330
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA20845 Issued in FL
Practice address
527 NW Cashmere Blvd
Unit 103 the Palms @ St Lucie West
Port Saint Lucie, FL 34968
Phone
(772) 204-9822
Fax
(772) 336-9932
NPI assigned
May 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA20845 FL Primary

Addresses

Primary practice location

527 NW Cashmere Blvd
Unit 103 the Palms @ St Lucie West
Port Saint Lucie, FL 34968

Mailing address

3474 SW Martin St
Port Saint Lucie, FL 34953-4909
Phone (772) 785-9866

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

LicenseStateTypeSpecialty
PTA20845FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1821223330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3474 SW MARTIN ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349534909",
            "telephone_number": "772-785-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 NW CASHMERE BLVD",
            "address_2": "UNIT 103 THE PALMS @ ST LUCIE WEST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34968",
            "telephone_number": "772-204-9822",
            "fax_number": "772-336-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPIAS",
        "first_name": "GINA",
        "middle_name": "PAOLA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA20845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.