Individual provider Active NPI

Luis Manuel Anaya, P.T.

  • Physical Therapist
  • Lauderhill, FL
National Provider Identifier
1255540803
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 7955 Issued in FL
Practice address
7177 W Oakland Park Blvd
Lauderhill, FL 33313-1050
Phone
(954) 432-6829
Fax
(954) 432-0987
NPI assigned
May 21, 2007
Last updated
Oct 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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 PT 7955 FL Primary

Addresses

Primary practice location

7177 W Oakland Park Blvd
Lauderhill, FL 33313-1050

Mailing address

7177 W Oakland Park Blvd
Lauderhill, FL 33313-1050
Phone (954) 432-6829

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080904000760 FL Practitioner - Physical Therapist in Private Practice 3577639160 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 7955FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Rehabilitation Centers Inc Physical Therapist CurrentSince Apr 21, 2008 Accepting new patients

Locations

7177 W Oakland Park Blvd
Lauderhill, FL 33313
Phone (954) 432-6829

12012 Miramar Pkwy
Miramar, FL 33025
Phone (754) 340-8181

Organizations & group practices 1

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1255540803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7177 W OAKLAND PARK BLVD",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131050",
            "telephone_number": "954-432-6829",
            "fax_number": "954-432-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7177 W OAKLAND PARK BLVD",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131050",
            "telephone_number": "954-432-6829",
            "fax_number": "954-432-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAYA",
        "first_name": "LUIS",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 7955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.