Individual provider Active NPI

Emanuela Petrila, PT

  • Physical Therapist
  • Pembroke Pines, FL
National Provider Identifier
1194342097
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28878 Issued in FL
Practice address
13460 SW 10TH St Ste 102
Pembroke Pines, FL 33027-1833
Phone
(954) 514-5447
Fax
(954) 544-5445
NPI assigned
Jun 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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 PT28878 FL Primary

Addresses

Primary practice location

13460 SW 10TH St Ste 102
Pembroke Pines, FL 33027-1833

Mailing address

13460 SW 10TH St Ste 102
Pembroke Pines, FL 33027-1833
Phone (954) 514-5447

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

LicenseStateTypeSpecialty
PT28878FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1194342097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 SW 10TH ST STE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271833",
            "telephone_number": "954-514-5447",
            "fax_number": "954-544-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 SW 10TH ST STE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271833",
            "telephone_number": "954-514-5447",
            "fax_number": "954-544-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRILA",
        "first_name": "EMANUELA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.