Active NPI
Elizabeth J Kuba, DPT
- Orthopedic Physical Therapist
- Riverview, FL
National Provider Identifier
1972720340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT20880
- Practice address
- 13015 Summerfield Square Dr
Riverview, FL 33578-7402 - Phone
- (813) 879-8045
- Fax
- (855) 388-5356
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT20880 | FL | Primary |
Addresses
Primary practice location
13015 Summerfield Square Dr
Riverview, FL 33578-7402
Mailing address
1127 Nikki View Dr
Brandon, FL 33511-4879
Phone (813) 571-7184
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agape Physical Therapy Services, PC | Orthopedic | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Agape Physical Therapy
- Physical Therapist
- Brockport, NY
- NPI 1841200649
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1972720340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 NIKKI VIEW DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114879",
"telephone_number": "813-571-7184",
"fax_number": "813-654-4695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13015 SUMMERFIELD SQUARE DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335787402",
"telephone_number": "813-879-8045",
"fax_number": "855-388-5356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBA",
"first_name": "ELIZABETH",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT20880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.