Active NPI
Tamara Hidalgo, DPT
- Physical Therapist
- Doral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3655 NW 107TH Ave
Ste. 107
Doral, FL 33178-4327 - Phone
- (786) 452-0774
- Fax
- (785) 452-0764
- NPI assigned
- Feb 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3655 NW 107TH Ave
Ste. 107
Doral, FL 33178-4327
Mailing address
3655 NW 107TH Ave
Ste. 107
Doral, FL 33178-4327
Phone (786) 452-0774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT32095 | Other | FL | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
664 E 25 St
Suite 102
Hialeah, FL 33013-3806
Phone (786) 732-0189
9025 Pines Blvd
Pembroke Pines, FL 33024-6440
Phone (954) 417-8003
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.26 of 100
- Quality
- 86.58
- Improvement activities
- 40
- Cost
- 68.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motion Recovery Corp | Physical Therapist | Current | Accepting new patients |
| Florida Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Maxcure Therapy Center, LLC | Physical Therapist | Current | Accepting new patients |
Locations
664 E 25th St
Ste 102
Hialeah, FL 33013
Phone (786) 409-2651
5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627
9360 SW 72nd St
Ste 212
Miami, FL 33173
Phone (786) 362-5555
9025 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 417-0003
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IDEJCD/Endpoint/IDEJCD
Organizations & group practices 4
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.
-
- Physical Therapist
- Jacksonville, FL
- NPI 1114542032
-
- Rehabilitation Clinic/Center
- Miami, FL
- NPI 1184361545
Physical Therapist
-
- Physical Therapy Clinic/Center
- Doral, FL
- NPI 1194129908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1013457803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3655 NW 107TH AVE",
"address_2": "STE. 107",
"city": "DORAL",
"state": "FL",
"postal_code": "331784327",
"telephone_number": "786-452-0774",
"fax_number": "785-452-0764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 NW 107TH AVE",
"address_2": "STE. 107",
"city": "DORAL",
"state": "FL",
"postal_code": "331784327",
"telephone_number": "786-452-0774",
"fax_number": "785-452-0764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIDALGO",
"first_name": "TAMARA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-28",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT32095",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.