Organization Active NPI

Marcela Peraza, MPT, PA

  • Specialist
  • Hollywood, FL
National Provider Identifier
1104025527
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT20392 Issued in FL
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

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Marcela Maria Peraza, MPTNPI 1962544163
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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X PT20392 FL Primary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
891942900MedicaidFL

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": "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.

Verify at the official NPI Registry.