Individual provider Active NPI

Michelle Villanueva Neri, RPT

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1245413558
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070015378 Issued in IL
Practice address
3201 W Commercial Blvd
Suite 116
Fort Lauderdale, FL 33309-3440
Phone
(954) 332-4469
Fax
(866) 422-7778
NPI assigned
Dec 10, 2007
Last updated
Dec 10, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070015378 IL Primary

Addresses

Primary practice location

3201 W Commercial Blvd
Suite 116
Fort Lauderdale, FL 33309-3440

Mailing address

3201 W Commercial Blvd
Suite 116
Fort Lauderdale, FL 33309-3440
Phone (954) 332-4469

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230224002113 IL Practitioner - Physical Therapist in Private Practice 8527431303 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Senior Living LLCGroup PAC ID 0446754451, 117 clinicians
Paxxon Healthcare Services LLCGroup PAC ID 8325959554, 153 clinicians

Practice addresses (Care Compare)

12446 S Van Dyke Rd
Plainfield, IL 60585-2700
Phone (815) 216-4042

2450 W Fabyan Pkwy
Batavia, IL 60510-1576
Phone (847) 532-3492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070015378ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Jan 23, 2023 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Jan 23, 2023 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients
Reliant Senior Living LLC Physical Therapist CurrentSince Sep 13, 2025 Accepting new patients
Reliant Senior Living LLC Physical Therapist CurrentSince Sep 13, 2025 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients

Locations

550 Kildeer Dr
Bolingbrook, IL 60440
Phone (630) 634-5044

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

5800 Granite Pkwy
Ste 325
Plano, TX 75024

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1245413558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W COMMERCIAL BLVD",
            "address_2": "SUITE 116",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093440",
            "telephone_number": "954-332-4469",
            "fax_number": "866-422-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W COMMERCIAL BLVD",
            "address_2": "SUITE 116",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093440",
            "telephone_number": "954-332-4469",
            "fax_number": "866-422-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERI",
        "first_name": "MICHELLE",
        "middle_name": "VILLANUEVA",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.

Verify at the official NPI Registry.