Individual provider Active NPI

Lina Maria Peterson, PT

  • Physical Therapist
  • Pembroke Pines, FL
National Provider Identifier
1013038900
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23246 Issued in FL
Practice address
10794 Pines Blvd
Pembroke Pines, FL 33026-3920
Phone
(954) 447-0296
Fax
(954) 447-3131
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23246 FL Primary

Addresses

Primary practice location

10794 Pines Blvd
Pembroke Pines, FL 33026-3920

Mailing address

125 NW 109TH Ave Apt 105
Pembroke Pines, FL 33026-5116
Phone (954) 673-2623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080308000081 FL Practitioner - Physical Therapist in Private Practice 4587749023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Orthopaedic Care PAGroup PAC ID 6709852957, 16 clinicians
Total Health and Rehab CenterGroup PAC ID 2062479983, 2 clinicians

Practice addresses (Care Compare)

4850 W Oakland Park BL
Suite 201
Lauderdale Lakes, FL 33313-7268
Phone (954) 735-3535

8903 Glades Rd
Suite A11
Boca Raton, FL 33434-2006
Phone (561) 482-7575

Merit-based Incentive Payment System (MIPS)

Final score
74.76 of 100Reported as individual
Quality
49.53
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23246FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health and Rehab Center CurrentSince Mar 15, 2021 Accepting new patients
Total Orthopaedic Care PA CurrentSince Oct 1, 2010 Accepting new patients
Total Orthopaedic Care, P.a. CurrentSince Oct 1, 2010 Accepting new patients

Locations

8903 Glades Rd
Ste A11
Boca Raton, FL 33434
Phone (561) 482-7575

4850 W Oakland Park Blvd
Ste 201
Lauderdale Lakes, FL 33313
Phone (305) 735-3535

Interoperability endpoints

  • Direct secure messaging: linapetersondpt@tharci-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013038900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NW 109TH AVE APT 105",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265116",
            "telephone_number": "954-673-2623",
            "fax_number": "954-447-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10794 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263920",
            "telephone_number": "954-447-0296",
            "fax_number": "954-447-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LINA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "23246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.