Individual provider Active NPI

Nicolas Tejada, PT

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1063128031
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39217 Issued in FL
Practice address
133 NE 2ND Ave Apt 412
Miami, FL 33132-2908
Phone
(954) 609-0978
NPI assigned
Jan 24, 2023
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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 39217 FL Primary

Addresses

Primary practice location

133 NE 2ND Ave Apt 412
Miami, FL 33132-2908

Mailing address

1489 W Palmetto Park Rd Ste 410-X
Boca Raton, FL 33486-3325
Phone (954) 609-0978

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230317000339 FL Practitioner - Physical Therapist in Private Practice 7810361698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Force Physiotherapy Fort Lauderdale LLCGroup PAC ID 2860936929, 5 clinicians

Practice addresses (Care Compare)

500 S Andrews Ave
Suite 120
Fort Lauderdale, FL 33301-4433
Phone (954) 806-5896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39217FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Spine & Sports Specialists, LLC CurrentSince Jan 29, 2023 Accepting new patients
Kinetiq Rehabilitation, P.a. Current Accepting new patients
Force Physiotherapy Fort Lauderdale LLC Physical Therapist CurrentSince Apr 22, 2024 Accepting new patients
Force Physical Therapy Coconut Grove LLC Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients

Locations

1489 W Palmetto Park Rd
Ste 410X
Boca Raton, FL 33486
Phone (305) 306-7429

2250 SW 71st Ter
Davie, FL 33317
Phone (954) 806-5896

500 S Andrews Ave
Ste 120
Fort Lauderdale, FL 33301
Phone (716) 870-0728

3117 Bird Ave
Miami, FL 33133
Phone (305) 282-2689

3000 SW 148th Ave
Ste 115
Miramar, FL 33027
Phone (954) 438-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13984/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1063128031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 W PALMETTO PARK RD STE 410-X",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334863325",
            "telephone_number": "954-609-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 NE 2ND AVE APT 412",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331322908",
            "telephone_number": "954-609-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJADA",
        "first_name": "NICOLAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-24",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "39217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.