Active NPI
Ricardo Ancajima, PT
- Physical Therapist
- Homestead, FL
National Provider Identifier
1154463156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 27281
- Practice address
- 897 N Homestead Blvd Ste 101
Homestead, FL 33030-5024 - Phone
- (786) 217-0014
- Fax
- (786) 217-0020
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 27281 | FL | Primary |
Addresses
Primary practice location
897 N Homestead Blvd Ste 101
Homestead, FL 33030-5024
Mailing address
585 SE 37TH PL
Homestead, FL 33033-6239
Phone (305) 230-0429
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 27281 | FL | MD | Physical Therapist |
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT Inc | Physical Therapist | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- Physical Therapist
- Eldersburg, MD
- NPI 1164427092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1154463156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 SE 37TH PL",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330336239",
"telephone_number": "305-230-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "897 N HOMESTEAD BLVD STE 101",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330305024",
"telephone_number": "786-217-0014",
"fax_number": "786-217-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANCAJIMA",
"first_name": "RICARDO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 27281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.