Unknown Individual – Physical Therapy Assistant, NPI 1780825307

Unknown Individual is a healthcare provider. based in St augustine, Florida. specializing in Physical Therapy Assistant. They hold a License No. 18664 (FL). The NPI Number for Unknown Individual is 1780825307

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1780825307
Phone
(407) 340-4383
Address
368 TRAVINO AVE
Deactivation Date
31 May 2023
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

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Provider Addresses for Unknown Individual

  • 368, Travino Avenue, Saint Augustine Shores, Saint Johns County, Florida, 32086, United States

    ST AUGUSTINE, FL 320867369

    Phone: (407) 340-4383

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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 32086)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1780825307 uniquely identifies Unknown Individual in U.S. healthcare data.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Physical Therapy Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with St Augustine, Florida in the same public data insurers reference.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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