Active NPI
Ricardo Carriles-Albertorio, DPT
- Physical Therapist
- Maitland, FL
National Provider Identifier
1255717294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30507
- Practice address
- 405 Lake Howell Rd
Suite 1031
Maitland, FL 32751-5926 - Phone
- (407) 671-0433
- Fax
- (407) 671-2433
- NPI assigned
- Jul 31, 2015
- 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 Therapist | 225100000X | PT30507 | FL | Primary |
Addresses
Primary practice location
405 Lake Howell Rd
Suite 1031
Maitland, FL 32751-5926
Mailing address
405 Lake Howell Rd
Suite 1031
Maitland, FL 32751-5926
Phone (407) 671-0433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT30507 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tript, LLC | Physical Therapist | Current | Accepting new patients |
Locations
405 Lake Howell Rd
Ste 1031
Maitland, FL 32751
Phone (407) 671-0433
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Maitland, FL
- NPI 1700810900
-
- Physical Therapist
- Melbourne, FL
- NPI 1932122132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438300800000",
"number": "1255717294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 LAKE HOWELL RD",
"address_2": "SUITE 1031",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327515926",
"telephone_number": "407-671-0433",
"fax_number": "407-671-2433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 LAKE HOWELL RD",
"address_2": "SUITE 1031",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327515926",
"telephone_number": "407-671-0433",
"fax_number": "407-671-2433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRILES-ALBERTORIO",
"first_name": "RICARDO",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-31",
"last_updated": "2015-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT30507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.