Individual provider Active NPI

Nicholas J Concepcion, PT

  • Physical Therapist
  • Cutler Bay, FL
National Provider Identifier
1275843005
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25838 Issued in FL
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

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 2466871728, 2 clinicians

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

LicenseStateTypeSpecialty
PT25838FLMDRehabilitation Chiropractor
25838FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
USA Sports Therapy South Beach Inc Physical Therapist CurrentSince Jan 29, 2020 Accepting new patients
Everglades Physical Therapy Inc Physical Therapist CurrentSince Jun 1, 2020 Accepting new patients
The Pilates Doc, LLC Physical Therapist PastSince Jan 29, 2020 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.

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.

Verify at the official NPI Registry.