Active NPI
Nicholas J Concepcion, PT
- Physical Therapist
- Cutler Bay, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25838
- Practice address
- 8520 SW 185TH Ter
Cutler Bay, FL 33157-7248 - Phone
- (305) 562-5934
- NPI assigned
- Oct 14, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | PT25838 | FL | |
| Physical Therapist | 225100000X | 25838 | FL | Primary |
Addresses
Primary practice location
8520 SW 185TH Ter
Cutler Bay, FL 33157-7248
Mailing address
8520 SW 185TH Ter Ste 205
Cutler Bay, FL 33157-7248
Phone (305) 562-5934
Other practice location 1
12651 S.Dixie Hwy Suite 205
Progressive Physical Therapy Center Inc
Miami, FL 33156
Phone (305) 232-9222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130123000167 | FL | Practitioner - Physical Therapist in Private Practice | 7911150032 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Everglades Physical Therapy Inc
Practice addresses (Care Compare)
8520 SW 185TH Ter
Cutler Bay, FL 33157-7248
Phone (305) 562-5934
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT25838 | FL | MD | Rehabilitation Chiropractor |
| 25838 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Sports Therapy South Beach Inc | Physical Therapist | Current | Accepting new patients |
| Everglades Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| The Pilates Doc, LLC | Physical Therapist | Past | Accepting new patients |
Locations
21150 Biscayne Blvd
Ste 406
Miami, FL 33180
4221 Pine Tree Dr
Fl 2
Miami Beach, FL 33140
Organizations & group practices 3
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
- Cutler Bay, FL
- NPI 1295352904
FL, Physical Therapist
-
- Physical Therapist
- Miami Beach, FL
- NPI 1962821504
FL, Physical Therapist
-
- Physical Therapist
- Aventura, FL
- NPI 1992127443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1275843005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8520 SW 185TH TER STE 205",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331577248",
"telephone_number": "305-562-5934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8520 SW 185TH TER",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331577248",
"telephone_number": "305-562-5934"
}
],
"practiceLocations": [
{
"address_1": "12651 S.Dixie Hwy Suite 205",
"address_2": "Progressive Physical Therapy Center Inc",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "33156",
"country_code": "US",
"telephone_number": "305-232-9222",
"fax_number": "305-232-8808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONCEPCION",
"first_name": "NICHOLAS",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-14",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "PT25838",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "25838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.