Individual provider Active NPI

Jonathan Alphanso Nicholas Ying, PTA,LMT

  • Physical Therapy Assistant
  • Pembroke Pines, FL
National Provider Identifier
1013692649
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA32277 Issued in FL
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

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PTA32277FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Rehab Services, Inc CurrentSince Jun 25, 2023 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.

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.

Verify at the official NPI Registry.