Active NPI
Leah Vergara, PTA
- Physical Therapy Assistant
- Hialeah, FL
National Provider Identifier
1184270167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA29631
- Practice address
- 6862 NW 169TH St
Hialeah, FL 33015-4210 - Phone
- (386) 864-1338
- NPI assigned
- Aug 14, 2019
- Last updated
- Aug 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | PTA29631 | FL | Primary |
Addresses
Primary practice location
6862 NW 169TH St
Hialeah, FL 33015-4210
Mailing address
1322 N 30TH CT
Hollywood, FL 33021-5000
Phone (386) 864-1338
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 |
|---|---|---|---|
| PTA29631 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1184270167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 N 30TH CT",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215000",
"telephone_number": "386-864-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6862 NW 169TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330154210",
"telephone_number": "386-864-1338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERGARA",
"first_name": "LEAH",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-14",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA29631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.