Active NPI
Marcela Peraza, MPT, PA
- Specialist
- Hollywood, FL
National Provider Identifier
1104025527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT20392
- Legal business name
- MARCELA PERAZA, MPT, PA
- Practice address
- 2734 Jackson St
Hollywood, FL 33020-4812 - Phone
- (305) 987-7803
- NPI assigned
- Jul 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcela Maria Peraza, MPT
- Title
- President/Owner
- Phone
- (305) 987-7803
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT20392 | FL | Primary |
| Developmental Therapist | 222Q00000X | PT20392 | FL |
Addresses
Primary practice location
2734 Jackson St
Hollywood, FL 33020-4812
Mailing address
2734 Jackson St
Hollywood, FL 33020-4812
Phone (305) 987-7803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891942900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1184544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424736000000",
"number": "1104025527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2734 JACKSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330204812",
"telephone_number": "305-987-7803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2734 JACKSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330204812",
"telephone_number": "305-987-7803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARCELA PERAZA, MPT, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-16",
"last_updated": "2015-02-24",
"status": "A",
"authorized_official_last_name": "PERAZA",
"authorized_official_first_name": "MARCELA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "305-987-7803",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "PT20392",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Developmental Therapist",
"state": "FL",
"license": "PT20392",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891942900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.