Ricardo Vaz, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

27805 Issued in FL

Practice address

701 E 3Rd Ave Unit 6
New Smyrna Beach, FL 32169-3104

Phone

(386) 597-3992

NPI assigned

Aug 14, 2017

Sex

Male

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

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 and National Provider Directory roles.

• Blue Water Therapy Inc

  • Clinic/Center
  • New Smyrna Beach, FL
  • NPI 1538409966
  NPD (past)

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1174049977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 DORIS DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321694103",
            "telephone_number": "386-597-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 3RD AVE UNIT 6",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321693104",
            "telephone_number": "386-597-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZ",
        "first_name": "RICARDO",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-14",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "27805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upward Trend Academy
• Valerie G. Davis, M.D.
• Katherine Vanhove, PA-C
• Varsityone Inc
• Haley Taylor Vaughn
• Ruth Ann Verduzco, LMT
• Maria Victoria Vintimilla, M.D.
• Volusia Anesthesiology Associates PA
• Volusia Cardiology Associates Inc
• Volusia Eye Associates, LLC

• Physical Therapy Assistant in New Smyrna Beach, FL
• Providers in New Smyrna Beach, 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 Aug 24, 2021; 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.