Individual provider Active NPI

Julie Lorraine Caballero, PTA

  • Physical Therapy Assistant
  • Hollywood, FL
National Provider Identifier
1346599800
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA0371 Issued in FL
Practice address
2301 S Ocean Dr
Apt 1708
Hollywood, FL 33019-2632
Phone
(954) 600-7661
NPI assigned
Aug 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA0371 FL Primary
Physical Therapy Assistant 225200000X 2072885 TX
Physical Therapy Assistant 225200000X 8838 CA

Addresses

Primary practice location

2301 S Ocean Dr
Apt 1708
Hollywood, FL 33019-2632

Mailing address

2301 S Ocean Dr
Apt 1708
Hollywood, FL 33019-2632
Phone (954) 600-7661

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8838CAMDAddiction (Substance Use Disorder) Counselor
PTA0371FLMDPhysical Therapy Assistant
2072885TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1346599800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S OCEAN DR",
            "address_2": "APT 1708",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192632",
            "telephone_number": "954-600-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S OCEAN DR",
            "address_2": "APT 1708",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192632",
            "telephone_number": "954-600-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "JULIE",
        "middle_name": "LORRAINE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA0371",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2072885",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "8838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.