Active NPI
Heberto Roy Galicia, MSPT
- Physical Therapist
- Miami Lakes, FL
National Provider Identifier
1225056518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 22298
- Practice address
- 8558 Glencairn LN
Miami Lakes, FL 33016-1466 - Phone
- (786) 417-5517
- Fax
- (305) 827-4386
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- 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 Therapist | 225100000X | PT 22298 | FL | Primary |
Addresses
Primary practice location
8558 Glencairn LN
Miami Lakes, FL 33016-1466
Mailing address
8558 Glencairn LN
Miami Lakes, FL 33016-1466
Phone (786) 417-5517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7401 Miami Lakes Dr
Miami Lakes, FL 33014-6818
Phone (786) 500-7868
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 22298 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fit Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
7401 Miami Lakes Dr
Miami Lakes, FL 33014
Phone (786) 500-7868
Organizations & group practices 1
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": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225056518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8558 GLENCAIRN LN",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161466",
"telephone_number": "786-417-5517",
"fax_number": "305-827-4386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8558 GLENCAIRN LN",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161466",
"telephone_number": "786-417-5517",
"fax_number": "305-827-4386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALICIA",
"first_name": "HEBERTO",
"middle_name": "ROY",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 22298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.