Individual provider Active NPI

Alejandro Dupotey, P.T.A

  • Physical Therapy Assistant
  • Miami Lakes, FL
National Provider Identifier
1255708020
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA 25660 Issued in FL
Practice address
8748 NW 152ND Ter
Miami Lakes, FL 33018-1357
Phone
(786) 546-1733
NPI assigned
Aug 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA 25660 FL Primary

Addresses

Primary practice location

8748 NW 152ND Ter
Miami Lakes, FL 33018-1357

Mailing address

8748 NW 152ND Ter
Miami Lakes, FL 33018-1357
Phone (786) 546-1733

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
PTA 25660FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1255708020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8748 NW 152ND TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330181357",
            "telephone_number": "786-546-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8748 NW 152ND TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330181357",
            "telephone_number": "786-546-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPOTEY",
        "first_name": "ALEJANDRO",
        "credential": "P.T.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 25660",
            "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 Aug 28, 2015; 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.