Active NPI
Jacqueline Elizabeth Amazon, PA, DPT
- Physician Assistant
- Miami, FL
National Provider Identifier
1306062609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9108954
- Practice address
- 3100 SW 62ND Ave
Department of Orthopedics
Miami, FL 33155-3009 - Phone
- (305) 331-4191
- NPI assigned
- Apr 17, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22605 | FL | |
| Physician Assistant | 363A00000X | 9108954 | FL | Primary |
Addresses
Primary practice location
3100 SW 62ND Ave
Department of Orthopedics
Miami, FL 33155-3009
Mailing address
3100 SW 62ND Ave
Department of Orthopedics
Miami, FL 33155-3009
Phone (305) 331-4191
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22605 | FL | MD | Physical Therapist |
| 9108954 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441843200000",
"number": "1306062609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SW 62ND AVE",
"address_2": "DEPARTMENT OF ORTHOPEDICS",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553009",
"telephone_number": "305-331-4191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SW 62ND AVE",
"address_2": "DEPARTMENT OF ORTHOPEDICS",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553009",
"telephone_number": "305-331-4191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMAZON",
"first_name": "JACQUELINE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "PA, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2015-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "22605",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9108954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.