Active NPI
Angel Ceballos, PT, DPT
- Physical Therapist
- Miami, FL
National Provider Identifier
1225685373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT35090
- Practice address
- 9415 Sunset Dr Ste 111
Miami, FL 33173-5492 - Phone
- (786) 507-8278
- NPI assigned
- Aug 23, 2019
- 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 | PT35090 | FL | Primary |
Addresses
Primary practice location
9415 Sunset Dr Ste 111
Miami, FL 33173-5492
Mailing address
9873 SW 159TH PL
Miami, FL 33196-6629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT35090 | Other | FL | PT LICENSE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1225685373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9873 SW 159TH PL",
"city": "MIAMI",
"state": "FL",
"postal_code": "331966629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9415 SUNSET DR STE 111",
"city": "MIAMI",
"state": "FL",
"postal_code": "331735492",
"telephone_number": "786-507-8278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEBALLOS",
"first_name": "ANGEL",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-23",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT35090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT35090",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.