Elizabeth Chipiliro Mkutumula

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 22238 Issued in FL

Practice address

628 Timber Bay Cir W
Oldsmar, FL 34677-4317

Phone

(251) 458-9025

NPI assigned

Mar 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1831464338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 TIMBER BAY CIR W",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346774317",
            "telephone_number": "251-458-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 TIMBER BAY CIR W",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346774317",
            "telephone_number": "251-458-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MKUTUMULA",
        "first_name": "ELIZABETH",
        "middle_name": "CHIPILIRO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA 4585",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 22238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medexpress Primary Care Texas, P.a.
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• Melissa Miles
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• Caroline J Molinari, DMD
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• Nichole Moore-Binder
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• Yelena Morejon Albes, RBT-25-453695

• Physical Therapy Assistant in Oldsmar, FL
• Providers in Oldsmar, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.