Terapia Fisica Movimiento Es Vida

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1238 Issued in PR

Legal business name

TERAPIA FISICA MOVIMIENTO ES VIDA

Practice address

Edificio Don Pablo Carr 110 KM 12.8
Bo. Pueblo
Moca, PR 00676
UM

Phone

(787) 877-1213

Fax

(787) 877-1213

NPI assigned

Jun 29, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Esther Luciano, PT

Title

Physical Terapist/ Owner

Phone

(787) 877-1213

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• TERAPIA FISICA MOVIMIENTO ES VIDA Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Luciano- Mendez, RPT

  • Physical Therapist
  • San Sebastian, PR
  • NPI 1073630828
  Medicare reassignment NPD
• Blanca Ivette Rivera Arocho, DPT

  • Physical Therapist
  • Las Marias, PR
  • NPI 1700932407
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1295046852",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PO BOX 1088",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-877-1213",
            "fax_number": "787-877-1213"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "EDIFICIO DON PABLO CARR 110 KM 12.8",
            "address_2": "BO. PUEBLO",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-877-1213",
            "fax_number": "787-877-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERAPIA FISICA MOVIMIENTO ES VIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "LUCIANO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "PHYSICAL TERAPIST/ OWNER",
        "authorized_official_telephone_number": "787-877-1213",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PR",
            "license": "1238",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": "1238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073630828",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TERAPIA FISICA MOVIMIENTO ES VIDA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.