Individual provider Active NPI

Carlos Ladeira, P.T.

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1144397365
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 10997 Issued in FL
Practice address
901 45TH St
Kimmel BLDG
West Palm Beach, FL 33407-2413
Phone
(561) 844-5255
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 10997 FL Primary

Addresses

Primary practice location

901 45TH St
Kimmel BLDG
West Palm Beach, FL 33407-2413

Mailing address

PO Box 290370
Ft Lauderdale, FL 33329-0370
Phone (954) 262-4346

Other practice location 1

3000 Bayview Dr
Fort Lauderdale, FL 33306-1772
Phone (954) 567-1332

Other practice location 2

3200 S University Dr
Davie, FL 33328-2018
Phone (954) 262-1271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160721001862 FL Practitioner - Physical Therapist in Private Practice 9436442985 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1524 Weston Rd
Weston, FL 33326-3262
Phone (954) 860-7170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 10997FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services II, LLC CurrentSince Feb 24, 2020 Accepting new patients
Physical Therapy Now of Weston Inc Physical Therapist CurrentSince Apr 6, 2021 Accepting new patients
Tenet Florida Physician Services II, LLC Physical Therapist CurrentSince Feb 24, 2020 Accepting new patients
Nova Southeastern University, Inc CurrentSince May 18, 2016 Accepting new patients
Nova Southeastern University, Inc Current Accepting new patients
Nova Southeastern University Inc. CurrentSince May 18, 2016 Accepting new patients
Nova Southeastern University, Inc Physical Therapist Past Accepting new patients

Locations

3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250

3000 Bayview Dr
Ft Lauderdale, FL 33306
Phone (954) 393-1708

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

1524 Weston Rd
Weston, FL 33326
Phone (954) 860-7170

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1144397365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290370",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333290370",
            "telephone_number": "954-262-4346",
            "fax_number": "954-262-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 45TH ST",
            "address_2": "KIMMEL BLDG",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072413",
            "telephone_number": "561-844-5255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Bayview Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333061772",
            "country_code": "US",
            "telephone_number": "954-567-1332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 S University Dr",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333282018",
            "country_code": "US",
            "telephone_number": "954-262-1271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LADEIRA",
        "first_name": "CARLOS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 10997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.