Active NPI
Carlos Alberto Pineda Jr., PTA
- Physical Therapy Assistant
- Coral Gables, FL
National Provider Identifier
1366584591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 20435
- Practice address
- 1500 S Douglas Rd Ste 210
Coral Gables, FL 33134-4108 - Phone
- (305) 448-0146
- Fax
- (305) 448-0147
- NPI assigned
- Feb 13, 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 | 20435 | FL | Primary |
Addresses
Primary practice location
1500 S Douglas Rd Ste 210
Coral Gables, FL 33134-4108
Mailing address
29725 SW 147TH CT
Homestead, FL 33033-3807
Phone (786) 457-6725
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 |
|---|---|---|---|
| 20435 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366584591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29725 SW 147TH CT",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330333807",
"telephone_number": "786-457-6725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S DOUGLAS RD STE 210",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344108",
"telephone_number": "305-448-0146",
"fax_number": "305-448-0147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINEDA",
"first_name": "CARLOS",
"middle_name": "ALBERTO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "20435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, 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.