Active NPI
Nicolas Tejada, PT
- Physical Therapist
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39217
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39217 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida Spine & Sports Specialists, LLC | Current | Accepting new patients | |
| Kinetiq Rehabilitation, P.a. | Current | Accepting new patients | |
| Force Physiotherapy Fort Lauderdale LLC | Physical Therapist | Current | Accepting new patients |
| Force Physical Therapy Coconut Grove LLC | Physical Therapist | Current | 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
- 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.
-
- Physical Therapist
- Fort Lauderdale, FL
- NPI 1639920192
-
- Physical Therapist
- Miami, FL
- NPI 1831834514
-
- Orthopedic Physical Therapist
- Miami, FL
- NPI 1407704752
-
- Physical Medicine & Rehabilitation Physician
- Miramar, FL
- NPI 1013377191
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.