Active NPI
Juan Maldonado Cruz, L.P.T.A.
- Physical Therapy Assistant
- Altamonte Springs, FL
National Provider Identifier
1366568768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 20099
- Practice address
- 360 Montgomery Rd
Altamonte Springs, FL 32714-6830 - Phone
- (407) 682-1057
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 20099 | FL | Primary |
Addresses
Primary practice location
360 Montgomery Rd
Altamonte Springs, FL 32714-6830
Mailing address
13437 Meadow Bay Loop
Orlando, FL 32824-5079
Phone (407) 438-8676
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 |
|---|---|---|---|
| 20099 | FL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366568768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13437 MEADOW BAY LOOP",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328245079",
"telephone_number": "407-438-8676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 MONTGOMERY RD",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327146830",
"telephone_number": "407-682-1057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "JUAN",
"middle_name": "MALDONADO",
"credential": "L.P.T.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "20099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.