Active NPI
Lourdes Jaramillo
- Physical Therapist
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3705 W 20TH Ave
Ste 125
Hialeah, FL 33012-4531 - Phone
- (305) 558-2629
- NPI assigned
- Aug 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
3705 W 20TH Ave
Ste 125
Hialeah, FL 33012-4531
Mailing address
12526 SW 120TH Ave
Miami, FL 33186-5176
Phone (305) 238-6884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT 22398 | Other | FL | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics Pta, Inc. | Current | Accepting new patients | |
| Rehabclinics Pta, Inc. | Current | Accepting new patients | |
| Rehabclinics SPT Inc | Physical Therapist | Past | Accepting new patients |
Locations
2999 NE 191st St
Ste 230
Miami, FL 33180
Phone (305) 933-9953
13645 Biscayne Blvd
North Miami Beach, FL 33181
Phone (305) 949-2700
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Aventura, FL
- NPI 1003274168
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- North Miami Beach, FL
- NPI 1619419850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063521649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12526 SW 120TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331865176",
"telephone_number": "305-238-6884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 W 20TH AVE",
"address_2": "STE 125",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330124531",
"telephone_number": "305-558-2629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARAMILLO",
"first_name": "LOURDES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "PT 22398",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.