Active NPI
Paul John Chapman, PTA
- Physical Therapy Assistant
- Brooksville, FL
National Provider Identifier
1942572755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 20224 PTA
- Practice address
- 12170 Cortez Blvd
Brooksville, FL 34613-5578 - Phone
- (352) 597-5100
- NPI assigned
- Feb 9, 2012
- Last updated
- Feb 9, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 20224 PTA | FL | Primary |
Addresses
Primary practice location
12170 Cortez Blvd
Brooksville, FL 34613-5578
Mailing address
10101 Briar Cir
Hudson, FL 34667-6653
Phone (727) 267-1636
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 |
|---|---|---|---|
| 20224 PTA | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328745600000",
"number": "1942572755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10101 BRIAR CIR",
"city": "HUDSON",
"state": "FL",
"postal_code": "346676653",
"telephone_number": "727-267-1636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12170 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135578",
"telephone_number": "352-597-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "PAUL",
"middle_name": "JOHN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-09",
"last_updated": "2012-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "20224 PTA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.