Individual provider Active NPI

Angelitta Morency

  • Physical Therapist
  • Pembroke Pines, FL
National Provider Identifier
1356447890
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22617 Issued in FL
Practice address
2048 NW 141St Ave
Pembroke Pines, FL 33028-2853
Phone
(954) 649-0034
NPI assigned
Sep 15, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X PT22617 FL
Physical Therapist 225100000X PT22617 FL Primary

Addresses

Primary practice location

2048 NW 141St Ave
Pembroke Pines, FL 33028-2853

Mailing address

2048 NW 141St Ave
Pembroke Pines, FL 33028-2853
Phone (954) 649-0034

Other practice location 1

13067 NW 18th Ct
Pembroke Pines, FL 33028-2512
Phone (954) 649-0034

Other practice location 2

1611 NW 12th Ave
Room 146
Miami, FL 33136-1005
Phone (305) 585-1923

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
PT22617FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avm Therapy Services, P.a. Physical Therapist CurrentSince Oct 9, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356447890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 NW 141ST AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282853",
            "telephone_number": "954-649-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 NW 141ST AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282853",
            "telephone_number": "954-649-0034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13067 NW 18th Ct",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330282512",
            "country_code": "US",
            "telephone_number": "954-649-0034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 NW 12th Ave",
            "address_2": "Room 146",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-585-1923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENCY",
        "first_name": "ANGELITTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "PT22617",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.