Individual provider Active NPI

Ricardo Carriles-Albertorio, DPT

  • Physical Therapist
  • Maitland, FL
National Provider Identifier
1255717294
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT30507 Issued in FL
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

Updated by the provider on Jul 31, 2015

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 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

Enrollment IDStateProvider typePAC IDDetails
I20160310001391 FL Practitioner - Physical Therapist in Private Practice 1456398809 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT30507FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tript, LLC Physical Therapist CurrentSince Jan 21, 2016 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.

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.

Verify at the official NPI Registry.