Lizette Josefina Fagundo, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19177 Issued in FL

Practice address

2590 SW 107TH Ave
Miami, FL 33165-2400

Phone

(305) 226-7718

Fax

(305) 226-7941

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehabilitation of South Florida IncGroup PAC ID 4486696382, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rehabilitation of South Florida Inc

  • Physical Therapist
  • Miami, FL
  • NPI 1437158037
  Medicare reassignment Care Compare group NPD
• Nations Physical Therapy Inc

  • Massage Therapist
  • Miami, FL
  • NPI 1558360057

  Physical Therapist

  NPD (past)
• Theragroup Inc

  • Occupational Therapist
  • Miami Beach, FL
  • NPI 1891796041

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124139852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652400",
            "telephone_number": "305-226-7718",
            "fax_number": "305-226-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652400",
            "telephone_number": "305-226-7718",
            "fax_number": "305-226-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGUNDO",
        "first_name": "LIZETTE",
        "middle_name": "JOSEFINA",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Faedo
• Ariana Patricia Fagan
• Sherry Lee Fagin, MSED
• Marcio A Fagundes, MD
• Flavia Fagundo Martinez
• Vanessa Fagundo
• Fahed Fayad MD PA
• Ghassan Edward Fahel, D.O.
• Fai Therapy ABA Corp
• Tania Faife, PHARM-D

• Physical Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.