Individual provider Active NPI

Rebecca Isabel Urrutia, PA-C

  • Physician Assistant
  • Plantation, FL
National Provider Identifier
1003365438
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109841 Issued in FL
Practice address
220 SW 84TH Ave Ste 102
Plantation, FL 33324-2729
Phone
(954) 720-1530
Fax
(954) 720-6540
NPI assigned
Sep 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9109841 FL Primary

Addresses

Primary practice location

220 SW 84TH Ave Ste 102
Plantation, FL 33324-2729

Mailing address

8529 NW 21St St
Coral Springs, FL 33071-6222
Phone (954) 778-3004

Other practice location 1

17842 NW 2nd St
Pembroke Pines, FL 33029-2806
Phone (954) 430-9901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170621002487 FL Practitioner - Physician Assistant 7517235294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Orthopedic Knee Hip Shoulder and Foot Center IncGroup PAC ID 2668895756, 11 clinicians

Practice addresses (Care Compare)

21644 State Rd
Suite 7
Boca Raton, FL 33428-1842
Phone (561) 488-8000

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440

9970 Central Park Blvd N
Suite 300
Boca Raton, FL 33428-2237
Phone (561) 488-2200

Hospital & facility affiliations

  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • West Boca Medical Center Hospital, Boca Raton, FL, CCN 100268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9109841FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Orthopaedic Knee & Sports Medicine Center Inc Past Accepting new patients
Foot Ankle & Leg Specialists of South Florida Inc PastSince Apr 15, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rebeccaurrutia@smasfpa.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1003365438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8529 NW 21ST ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716222",
            "telephone_number": "954-778-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SW 84TH AVE STE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242729",
            "telephone_number": "954-720-1530",
            "fax_number": "954-720-6540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17842 NW 2nd St",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330292806",
            "country_code": "US",
            "telephone_number": "954-430-9901",
            "fax_number": "954-430-0608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URRUTIA",
        "first_name": "REBECCA",
        "middle_name": "ISABEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.