Active NPI
Michele Renee Aguado, B.S. P.T.
- Physical Therapist
- Phila, PA
National Provider Identifier
1205021177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006695L
- Practice address
- 305 Cherry St
Phila, PA 19106-1803 - Phone
- (800) 974-6383
- NPI assigned
- Sep 12, 2007
- Last updated
- Sep 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | PT006695L | PA | Primary |
Addresses
Primary practice location
305 Cherry St
Phila, PA 19106-1803
Mailing address
4034 Lyman Dr
Phila, PA 19114-2108
Phone (215) 637-8249
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006695L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1205021177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4034 LYMAN DR",
"city": "PHILA",
"state": "PA",
"postal_code": "191142108",
"telephone_number": "215-637-8249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 CHERRY ST",
"city": "PHILA",
"state": "PA",
"postal_code": "191061803",
"telephone_number": "800-974-6383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUADO",
"first_name": "MICHELE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "B.S. P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-12",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT006695L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.