Organization Active NPI

S & M Physical Rehabilitation PSC

  • Physical Therapy Clinic/Center
  • Gurabo, PR
National Provider Identifier
1083980197
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
S & M PHYSICAL REHABILITATION PSC
Practice address
Marina Plaza Oficina 22-23 Carr. 189
Gurabo, PR 00778
Phone
(787) 737-0781
Fax
(787) 712-0979
NPI assigned
Mar 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Maydel Montanez OcasioNPI 1922194646
Title
President
Phone
(787) 737-0781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

Marina Plaza Oficina 22-23 Carr. 189
Gurabo, PR 00778

Mailing address

Ciudad Jardin 22 Manzanilla
Gurabo, PR 00778-9647

Other names 1

  • Physical Therapy Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230623002910 PR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3779941604 Receives reassigned benefits from 1 practitioner
Practice locations: Gurabo, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1083980197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CIUDAD JARDIN 22 MANZANILLA",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007789647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARINA PLAZA OFICINA 22-23 CARR. 189",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-737-0781",
            "fax_number": "787-712-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & M PHYSICAL REHABILITATION PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2023-06-05",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "MONTANEZ OCASIO",
        "authorized_official_first_name": "MAYDEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-737-0781"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gurabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.

Verify at the official NPI Registry.