Unknown Individual – Physical Therapy Assistant, NPI 1417115403

Unknown Individual is a healthcare provider. based in Brandon, Florida. specializing in Physical Therapy Assistant. They hold a License No. PTA1099 (FL). The NPI Number for Unknown Individual is 1417115403

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417115403
Phone
(813) 684-4500
Address
519 E BLOOMINGDALE AVE
Deactivation Date
28 August 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 519, East Bloomingdale Avenue, Brandon, Hillsborough County, Florida, 33511, United States

    BRANDON, FL 335118180

    Phone: (813) 684-4500

    Fax: (813) 684-0411

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33511)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1417115403.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Physical Therapy Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Brandon, Florida?
For routing, start with Brandon, Florida for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

MISS JACQUELINE DAWN SHEPARD (PTA)

Physical Therapy Assistant
1022, Versant Drive, Versant Place, Brandon, Hillsborough County, Florida, 33511, United States
NPI: 1649380817

MRS. ROBYN DESHA (PTA)

Physical Therapy Assistant
4560 SE INTERNATIONAL WAY STE 100
NPI: 1568599017

REHAB THERAPY WORKS

Rehabilitation Clinic/Center
600 NORTH BLVD W
NPI: 1982720371

JAMES DETWILER

Physical Therapy Assistant
West Waters Avenue, Sulphur Springs, Tampa, Hillsborough County, Florida, 33615, United States
NPI: 1467666784

MRS. EDZARD JOSEPH-JULES

Physical Therapy Assistant
716, Straw Lake Drive, Brandon, Hillsborough County, Florida, 33510, United States
NPI: 1326249277
116, East Bloomingdale Avenue, Brandon, Hillsborough County, Florida, 33511, United States
NPI: 1205013364

MR. ROBERT GORDON ROBBINS (PTA)

Physical Therapy Assistant
116, East Bloomingdale Avenue, Brandon, Hillsborough County, Florida, 33511, United States
NPI: 1881871937

CARINA GUDRUN GINES (PTA)

Physical Therapy Assistant
4701 FERNSTONE CT
NPI: 1578715249

SHANNON DEL ROSARIO

Physical Therapy Assistant
602, Vonderburg Drive, Brandon, Hillsborough County, Florida, 33511, United States
NPI: 1164666293