Active NPI
Madhukar Mahadeo Virkud, OTR/L
- Occupational Therapist
- St Petersburg, FL
National Provider Identifier
1821297342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 5151
- Practice address
- 5701 1St Ave N
St Petersburg, FL 33710-7913 - Phone
- (727) 343-4128
- Fax
- (727) 343-4128
- NPI assigned
- Jul 13, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 5151 | FL | Primary |
Addresses
Primary practice location
5701 1St Ave N
St Petersburg, FL 33710-7913
Mailing address
5701 1St Ave N
St Petersburg, FL 33710-7913
Phone (727) 343-4128
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 |
|---|---|---|---|
| OT 5151 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1821297342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 1ST AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337107913",
"telephone_number": "727-343-4128",
"fax_number": "727-343-4128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 1ST AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337107913",
"telephone_number": "727-343-4128",
"fax_number": "727-343-4128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRKUD",
"first_name": "MADHUKAR",
"middle_name": "MAHADEO",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 5151",
"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 Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.