Active NPI
Jonathan Alphanso Nicholas Ying, PTA,LMT
- Physical Therapy Assistant
- Pembroke Pines, FL
National Provider Identifier
1013692649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA32277
- Practice address
- 10031 Pines Blvd Ste 216
Pembroke Pines, FL 33024-6169 - Phone
- (954) 305-5001
- NPI assigned
- Jun 20, 2023
- Sex
- Male
- 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 Therapy Assistant | 225200000X | PTA32277 | FL | Primary |
Addresses
Primary practice location
10031 Pines Blvd Ste 216
Pembroke Pines, FL 33024-6169
Mailing address
9831 Nob Hill LN
Sunrise, FL 33351-4645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA32277 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Generations Rehab Services, Inc | Current | Accepting new patients |
Locations
10031 Pines Blvd
Ste 216
Pembroke Pines, FL 33024
Phone (954) 305-5001
Organizations & group practices 1
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 Therapy Clinic/Center
- Pembroke Pines, FL
- NPI 1114570629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1013692649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9831 NOB HILL LN",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333514645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10031 PINES BLVD STE 216",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330246169",
"telephone_number": "954-305-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YING",
"first_name": "JONATHAN",
"middle_name": "ALPHANSO NICHOLAS",
"credential": "PTA,LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-20",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA32277",
"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 Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.