Active NPI
Monica Perez
- Physical Therapist
- Saint Augustine, FL
National Provider Identifier
1073095550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4556
- Practice address
- 900B Anastasia Blvd
Saint Augustine, FL 32080-4620 - Phone
- (904) 392-1621
- NPI assigned
- Aug 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4556 | PR | Primary |
| Physical Therapist | 225100000X | PT33972 | FL |
Addresses
Primary practice location
900B Anastasia Blvd
Saint Augustine, FL 32080-4620
Mailing address
1093 A1A Beach Blvd # 320
Saint Augustine, FL 32080-6733
Other practice location 1
Calle 30 Uu-43
Urb. Santa Juanita
Bayamon, PR 00956-4701
Phone (787) 787-8669
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4556 | PR | MD | Pharmacotherapy Pharmacist |
| PT33972 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Rehabilitation Services, Inc | Physical Therapist | Current | Accepting new patients |
Locations
UU43 Calle 30
Bayamon, PR 00956
Phone (787) 787-8669
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Bayamon, PR
- NPI 1982976536
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1073095550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1093 A1A BEACH BLVD # 320",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320806733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900B ANASTASIA BLVD",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320804620",
"telephone_number": "904-392-1621"
}
],
"practiceLocations": [
{
"address_1": "CALLE 30 UU-43",
"address_2": "URB. SANTA JUANITA",
"address_purpose": "LOCATION",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009564701",
"country_code": "US",
"telephone_number": "787-787-8669",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "MONICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-31",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "4556",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT33972",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.