Individual provider Active NPI

Emilio Hernandez Figueredo

  • Physical Therapy Assistant
  • Miramar, FL
National Provider Identifier
1093215337
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA31560 Issued in FL
Practice address
6412 SW 21St St
Miramar, FL 33023
Phone
(305) 812-2683
NPI assigned
Feb 13, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X
Physical Therapy Assistant 225200000X PTA31560 FL Primary

Addresses

Primary practice location

6412 SW 21St St
Miramar, FL 33023

Mailing address

6412 SW 21St St
Miramar, FL 33023-2806
Phone (305) 812-2683

Other practice location 1

2175 W 52nd St Apt 113
Hialeah, FL 33016-7099
Phone (305) 812-2683

Other practice location 2

2175 W 52nd St Apt 113
Hialeah, FL 33016-7099
Phone (305) 812-2683

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

LicenseStateTypeSpecialty
PTA31560FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1093215337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 SW 21ST ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330232806",
            "telephone_number": "305-812-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 SW 21ST ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33023",
            "telephone_number": "305-812-2683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2175 W 52nd St Apt 113",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330167099",
            "country_code": "US",
            "telephone_number": "305-812-2683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2175 W 52nd St Apt 113",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330167099",
            "country_code": "US",
            "telephone_number": "305-812-2683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ FIGUEREDO",
        "first_name": "EMILIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-13",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA31560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.