Active NPI
Cheryl Ann Nobrega, PT, DPT
- Physical Therapist
- Brooksville, FL
National Provider Identifier
1275916868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 28924
- Practice address
- 11463 Cortez Blvd
Brooksville, FL 34613-7367 - Phone
- (352) 592-1114
- Fax
- (352) 592-1190
- NPI assigned
- Jul 1, 2015
- Sex
- Female
- 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 | PT 28924 | FL | Primary |
Addresses
Primary practice location
11463 Cortez Blvd
Brooksville, FL 34613-7367
Mailing address
5120 Lydia CT
Spring Hill, FL 34608-2628
Phone (352) 592-1114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT 28924 | Other | FL | FLORIDA PHYSICAL THERAPY LICENSE |
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 |
|---|---|---|---|
| PT 28924 | FL | MD | Physical Therapist |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1275916868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5120 LYDIA CT",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346082628",
"telephone_number": "352-592-1114",
"fax_number": "352-592-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11463 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346137367",
"telephone_number": "352-592-1114",
"fax_number": "352-592-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBREGA",
"first_name": "CHERYL",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 28924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA PHYSICAL THERAPY LICENSE",
"identifier": "PT 28924",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.