Active NPI
Juliana Mejia
- Physical Therapist
- Pembroke Pines, FL
National Provider Identifier
1356616437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 27147
- Practice address
- 17796 SW 2ND St
Pembroke Pines, FL 33029-3923 - Phone
- (954) 438-6437
- Fax
- (954) 438-7350
- NPI assigned
- Mar 21, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 27147 | FL | Primary |
Addresses
Primary practice location
17796 SW 2ND St
Pembroke Pines, FL 33029-3923
Mailing address
6248 SW 139TH Ave
Miami, FL 33183-1178
Phone (954) 438-6437
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 27147 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1356616437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6248 SW 139TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331831178",
"telephone_number": "954-438-6437",
"fax_number": "954-438-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17796 SW 2ND ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330293923",
"telephone_number": "954-438-6437",
"fax_number": "954-438-7350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA",
"first_name": "JULIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-21",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 27147",
"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 Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.