Individual provider Active NPI

Ricardo A. Neira, PT

  • Developmental Therapist
  • Parkland, FL
National Provider Identifier
1215078639
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
PT22553 Issued in FL
Practice address
7011 NW 111TH Ter
Parkland, FL 33076-3868
Phone
(954) 341-5369
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT22553 FL
Developmental Therapist 222Q00000X PT22553 FL Primary

Addresses

Primary practice location

7011 NW 111TH Ter
Parkland, FL 33076-3868

Mailing address

7011 NW 111TH Ter
Parkland, FL 33076-3868
Phone (954) 341-5369

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103001071 FL Practitioner - Physical Therapist in Private Practice 3971797952 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT22553FLMDPhysical Therapist

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Total Orthopaedic Care, P.a. CurrentSince Oct 1, 2013 Accepting new patients
Lago Mental Health Corp CurrentSince May 30, 2023 Accepting new patients
Total Orthopaedic Care PA CurrentSince Oct 1, 2013 Accepting new patients
Joyner Hand, PA Past Accepting new patients

Locations

11055 SW 186th St
Ste 207
Cutler Bay, FL 33157
Phone (786) 483-5523

4850 W Oakland Park Blvd
Ste 201
Lauderdale Lakes, FL 33313
Phone (305) 735-3535

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 4

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1215078639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 NW 111TH TER",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330763868",
            "telephone_number": "954-341-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 NW 111TH TER",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330763868",
            "telephone_number": "954-341-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIRA",
        "first_name": "RICARDO",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22553",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "PT22553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.