Active NPI
Angelitta Morency
- Physical Therapist
- Pembroke Pines, FL
National Provider Identifier
1356447890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT22617
- Practice address
- 2048 NW 141St Ave
Pembroke Pines, FL 33028-2853 - Phone
- (954) 649-0034
- NPI assigned
- Sep 15, 2006
- Last updated
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT22617 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avm Therapy Services, P.a. | Physical Therapist | Current | 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.
-
- Physical Therapist
- Pembroke Pines, FL
- NPI 1164147518
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.