Mayrel Medina

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA24178 Issued in FL

Practice address

1840 W 49TH St Ste 225
Hialeah, FL 33012-2949

Phone

(786) 536-4399

Fax

(786) 431-5891

NPI assigned

Sep 6, 2014

Last updated

Sep 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• New Beginning Therapy Center, Corp

  • Rehabilitation Clinic/Center
  • Hialeah, FL
  • NPI 1720373541
  NPD (past)

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

{
    "created_epoch": "1409961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409961600000",
    "number": "1164823464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8425 NW 165TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166137",
            "telephone_number": "786-357-3765",
            "fax_number": "786-431-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 225",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122949",
            "telephone_number": "786-536-4399",
            "fax_number": "786-431-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MAYREL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-06",
        "last_updated": "2014-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA24178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APT",
            "identifier": "PTA24178",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jani Medina, M.S., CF-SLP
• Maibel Medina
• Maria Medina
• Maria Rachel Medina
• Marianela Medina
• Nancy M Medina
• Nedda Medina
• Niurka Medina, SLP
• Onel Medina
• Sahory Medina

• Physical Therapy Assistant in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2014; 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.