Individual provider Active NPI

Freire Alcantara, DPT, CSCS, ATC

  • Physical Therapist
  • Davie, FL
National Provider Identifier
1184096232
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30696 Issued in FL
Practice address
8262 Griffin Rd
Davie, FL 33328-3715
Phone
(954) 368-4598
Fax
(954) 530-2369
NPI assigned
Oct 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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 30696 FL Primary

Addresses

Primary practice location

8262 Griffin Rd
Davie, FL 33328-3715

Mailing address

8262 Griffin Rd
Davie, FL 33328-3715
Phone (954) 368-4598

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160125002018 FL Practitioner - Physical Therapist in Private Practice 6507169547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fix It Physical Therapy, LLCGroup PAC ID 2062836034, 4 clinicians

Practice addresses (Care Compare)

8262 Griffin Rd
Davie, FL 33328-3715
Phone (954) 368-4598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30696FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fix It Physical Therapy, LLC Physical Therapist CurrentSince Jun 1, 2020 Accepting new patients

Locations

8246 Griffin Rd
Davie, FL 33328

8262 Griffin Rd
Davie, FL 33328
Phone (954) 368-4598

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.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1184096232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8262 GRIFFIN RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283715",
            "telephone_number": "954-368-4598",
            "fax_number": "954-530-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8262 GRIFFIN RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283715",
            "telephone_number": "954-368-4598",
            "fax_number": "954-530-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCANTARA",
        "first_name": "FREIRE",
        "name_prefix": "Dr.",
        "credential": "DPT, CSCS, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-28",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "30696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.