Active NPI
Caroline Daniela Radosz, N.D.,P.T.,D.P.T
- Physical Therapist
- Fort Walton Beach, FL
National Provider Identifier
1992931745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 29221
- Practice address
- 600 Opp Dr
Fort Walton Beach, FL 32548-4493 - Phone
- (850) 301-1935
- Fax
- (850) 301-1937
- NPI assigned
- Jun 8, 2009
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 29221 | FL | Primary |
Addresses
Primary practice location
600 Opp Dr
Fort Walton Beach, FL 32548-4493
Mailing address
600 Opp Dr
Fort Walton Beach, FL 32548-4493
Phone (850) 301-1935
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 29221 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403827200000",
"number": "1992931745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OPP DR",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325484493",
"telephone_number": "850-301-1935",
"fax_number": "850-301-1937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 OPP DR",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325484493",
"telephone_number": "850-301-1935",
"fax_number": "850-301-1937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADOSZ",
"first_name": "CAROLINE",
"middle_name": "DANIELA",
"credential": "N.D.,P.T.,D.P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-08",
"last_updated": "2014-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 29221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.