Provider Demographics
NPI:1366230724
Name:MASKARA, SHIVIKA SUNIL
Entity type:Individual
Prefix:
First Name:SHIVIKA
Middle Name:SUNIL
Last Name:MASKARA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3138 DUNSTABLE DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-7949
Mailing Address - Country:US
Mailing Address - Phone:412-961-2005
Mailing Address - Fax:
Practice Address - Street 1:3840 ATMORE GROVE DR
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33548-7903
Practice Address - Country:US
Practice Address - Phone:412-961-2005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT338222251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics