Individual provider Active NPI

Jessye Lilian Lamar Alzate, DPT

  • Physical Therapist
  • Cooper City, FL
National Provider Identifier
1306570445
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38316 Issued in FL
Practice address
9900 Stirling Rd
Suite 303
Cooper City, FL 33024
Phone
(954) 432-8872
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT38316 FL Primary

Addresses

Primary practice location

9900 Stirling Rd
Suite 303
Cooper City, FL 33024

Mailing address

1425 Crossbill CT
Weston, FL 33327
Phone (954) 397-4624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230404000301 FL Practitioner - Physical Therapist in Private Practice 8527433663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Medical and Rehab IncGroup PAC ID 3375802481, 2 clinicians
Palm Rehabilitation Center, Inc.Group PAC ID 4082646054, 3 clinicians

Practice addresses (Care Compare)

9900 Stirling Rd
Suite 303
Hollywood, FL 33024-8066
Phone (954) 832-8872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT38316FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Rehabilitation Center, Inc. Physical Therapist CurrentSince Nov 16, 2022 Accepting new patients
Neurological Testing Centers of America Inc. PastSince Nov 16, 2022 Accepting new patients
Progressive Orthopedic and Rehabilitation Inc Physical Therapist Past Accepting new patients

Locations

2500 E Hallandale Beach Blvd
Ste 210
Hallandale Beach, FL 33009
Phone (954) 458-2202

9900 Stirling Rd
Ste 303
Hollywood, FL 33024
Phone (954) 432-8872

Organizations & group practices 4

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1306570445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 CROSSBILL CT",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33327",
            "telephone_number": "954-397-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 STIRLING RD",
            "address_2": "SUITE 303",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-432-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMAR ALZATE",
        "first_name": "JESSYE",
        "middle_name": "LILIAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.