Active NPI
Orlando Jimenez Jr., PTA
- Physical Therapy Assistant
- Miami Lakes, FL
National Provider Identifier
1245471903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA18697
- Practice address
- 15600 NW 67TH Ave
Suite 306
Miami Lakes, FL 33014-2174 - Phone
- (954) 476-8800
- Fax
- (954) 476-1362
- NPI assigned
- Mar 10, 2009
- Sex
- Male
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | PTA18697 | FL | Primary |
Addresses
Primary practice location
15600 NW 67TH Ave
Suite 306
Miami Lakes, FL 33014-2174
Mailing address
350 N Pine Island Rd
Suite 200
Plantation, FL 33324-1849
Phone (954) 476-8800
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA18697 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256169600000",
"number": "1245471903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N PINE ISLAND RD",
"address_2": "SUITE 200",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241849",
"telephone_number": "954-476-8800",
"fax_number": "954-476-1362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15600 NW 67TH AVE",
"address_2": "SUITE 306",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142174",
"telephone_number": "954-476-8800",
"fax_number": "954-476-1362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "ORLANDO",
"name_suffix": "Jr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-10",
"last_updated": "2009-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA18697",
"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 Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.