Individual provider Active NPI

Gladys Hilda Urraca Jr., MSPT

  • Physical Therapist
  • Cutler Bay, FL
National Provider Identifier
1194093591
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 23339 Issued in FL
Practice address
18444 SW 87TH CT
Cutler Bay, FL 33157-7226
Phone
(305) 281-0742
NPI assigned
Dec 13, 2011
Last updated
Sep 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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 PT 23339 FL Primary

Addresses

Primary practice location

18444 SW 87TH CT
Cutler Bay, FL 33157-7226

Mailing address

18444 SW 87TH CT
Cutler Bay, FL 33157-7226
Phone (305) 281-0742

Other names 1

  • Mrs. Gladys Hilda Ulloa Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 23339FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Pediatric Therapy, Inc. PastSince Oct 24, 2021 Accepting new patients
Bolanos Associates, LLC. Physical Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1194093591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 SW 87TH CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577226",
            "telephone_number": "305-281-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18444 SW 87TH CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577226",
            "telephone_number": "305-281-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URRACA",
        "first_name": "GLADYS",
        "middle_name": "HILDA",
        "name_prefix": "Ms.",
        "name_suffix": "Jr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 23339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLADYS",
            "last_name": "ULLOA",
            "middle_name": "HILDA",
            "prefix": "MRS.",
            "credential": "MSPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.