Professional Therapy Group Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

409 Issued in PR

Legal business name

PROFESSIONAL THERAPY GROUP INC

Practice address

Roberto Clemente Avenue
117 Block #1 Villa Carolina
Carolina, PR 00985

Phone

(787) 762-4940

Fax

(787) 257-1234

NPI assigned

Jun 16, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Alicia Cruz, PHYSICAL THERAPIST

Title

Physical Therapy

Phone

(787) 762-4940

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yazmin Pabon, PTA

  • Physical Therapy Assistant
  • Carolina, PR
  • NPI 1265649412
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1164427068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3240",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843240",
            "telephone_number": "787-762-4940",
            "fax_number": "787-257-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROBERTO CLEMENTE AVENUE",
            "address_2": "117 BLOCK #1 VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-762-4940",
            "fax_number": "787-257-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL THERAPY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "PHYSICAL THERAPY",
        "authorized_official_telephone_number": "787-762-4940",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": "409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Carolina, PR
• Providers in Carolina, PR by specialty
• Physical Therapy Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.