Javier Perdomo, PTA, LMT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

27987 Issued in FL

Practice address

1940 Delaware Pkwy
Miami, FL 33125-1116

Phone

(786) 587-9692

NPI assigned

Jul 4, 2011

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1309737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1225325863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 DELAWARE PKWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251116",
            "telephone_number": "786-587-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 DELAWARE PKWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251116",
            "telephone_number": "786-587-9692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6799 Collins Ave Apt 503",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331415764",
            "country_code": "US",
            "telephone_number": "786-278-0324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERDOMO",
        "first_name": "JAVIER",
        "credential": "PTA, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "27987",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 63908",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Perdomo
• Cinthia Perdomo
• Dolores M Perdomo, PHD
• Erika Julia Perdomo
• Ingrid Perdomo
• Joanna Elizabeth Perdomo, M.D.
• Karla Maria Perdomo
• Luisa Maria Perdomo, BA
• Luz Victoria Perdomo, OTR
• Mario Perdomo

• Physical Therapy Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.