Individual provider Active NPI

Tamara Hidalgo, DPT

  • Physical Therapist
  • Doral, FL
National Provider Identifier
1013457803
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Jul 14, 2022

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 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

IdentifierTypeStateIssuer
PT32095OtherFLPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180517002201 FL Practitioner - Physical Therapist in Private Practice 4688939838 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Motion Recovery CorpGroup PAC ID 6002165305, 4 clinicians

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 100Reported as group
Quality
86.58
Improvement activities
40
Cost
68.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Recovery Corp Physical Therapist CurrentSince Jul 14, 2022 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince May 16, 2022 Accepting new patients
Maxcure Therapy Center, LLC Physical Therapist CurrentSince Apr 13, 2025 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.