Individual provider Active NPI

Naja Chikazunga-Martin, P.T.

  • Physical Therapist
  • Land O Lakes, FL
National Provider Identifier
1821374547
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 25695 Issued in FL
Practice address
5633 Sheer Bliss Loop
Land O Lakes, FL 34639-2811
Phone
(813) 996-7953
NPI assigned
Oct 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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 PT 25695 FL Primary

Addresses

Primary practice location

5633 Sheer Bliss Loop
Land O Lakes, FL 34639-2811

Mailing address

5633 Sheer Bliss Loop
Land O Lakes, FL 34639-2811
Phone (813) 996-7953

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

State licenses

LicenseStateTypeSpecialty
PT 25695FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1821374547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5633 SHEER BLISS LOOP",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346392811",
            "telephone_number": "813-996-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 SHEER BLISS LOOP",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346392811",
            "telephone_number": "813-996-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIKAZUNGA-MARTIN",
        "first_name": "NAJA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 25695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.