Individual provider Active NPI

Naine Silva Da Rocha

  • Physical Therapy Assistant
  • Palm Springs, FL
National Provider Identifier
1245855451
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA30189 Issued in FL
Practice address
2324 Congress Ave.
Suite 1a
Palm Springs, FL 33406-3340
Phone
(561) 408-0903
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X PTA30189 FL Primary

Addresses

Primary practice location

2324 Congress Ave.
Suite 1a
Palm Springs, FL 33406-3340

Mailing address

2324 S Congress Ave Ste 1a
Palm Springs, FL 33406-7667
Phone (561) 408-0903

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

LicenseStateTypeSpecialty
PTA30189FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1245855451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 S CONGRESS AVE STE 1A",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067667",
            "telephone_number": "561-408-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 CONGRESS AVE.",
            "address_2": "SUITE 1A",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334063340",
            "telephone_number": "561-408-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DA ROCHA",
        "first_name": "NAINE",
        "middle_name": "SILVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.