Active NPI
Roderick Ramirez Jaucian, RPT
- Physical Therapist
- Greenacres, FL
National Provider Identifier
1093087413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12862
- Practice address
- 6414 13TH Rd S
Greenacres, FL 33415-1401 - Phone
- (561) 478-9900
- NPI assigned
- Jan 31, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 12862 | FL | Primary |
Addresses
Primary practice location
6414 13TH Rd S
Greenacres, FL 33415-1401
Mailing address
9269 Plantation Estates Dr
Royal Palm Beach, FL 33411-4557
Phone (561) 753-1557
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12862 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327968000000",
"number": "1093087413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9269 PLANTATION ESTATES DR",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334114557",
"telephone_number": "561-753-1557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6414 13TH RD S",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334151401",
"telephone_number": "561-478-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAUCIAN",
"first_name": "RODERICK",
"middle_name": "RAMIREZ",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-31",
"last_updated": "2012-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "12862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.