Active NPI
Jose Andre Cruz
- Physical Therapist
- Silver Spring, MD
National Provider Identifier
1265064893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22140
- Practice address
- 12600 Laurie Dr
Silver Spring, MD 20904-1503 - Phone
- (443) 535-5506
- NPI assigned
- Feb 11, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 22140 | MD | Primary |
Addresses
Primary practice location
12600 Laurie Dr
Silver Spring, MD 20904-1503
Mailing address
12600 Laurie Dr
Silver Spring, MD 20904-1503
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22140 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1265064893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12600 LAURIE DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12600 LAURIE DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041503",
"telephone_number": "443-535-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "JOSE ANDRE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-11",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MD",
"license": "22140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.