Active NPI
Martha Henao Bloyer, MPT
- Physical Therapist
- Miami, FL
National Provider Identifier
1376603316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT12138
- Practice address
- 1601 NW 12TH Ave
Miami, FL 33136-1005 - Phone
- (305) 243-6831
- Fax
- (305) 243-4512
- NPI assigned
- Dec 11, 2006
- Last updated
- Aug 30, 2019
- 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 | PT12138 | FL | Primary |
Addresses
Primary practice location
1601 NW 12TH Ave
Miami, FL 33136-1005
Mailing address
16237 SW 15TH St
Pembroke Pines, FL 33027-5128
Phone (954) 447-0051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 884350300 | Medicaid | FL |
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 |
|---|---|---|---|
| PT12138 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home Therapy for You | Physical Therapist | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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 1790758027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1376603316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16237 SW 15TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330275128",
"telephone_number": "954-447-0051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-243-6831",
"fax_number": "305-243-4512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOYER",
"first_name": "MARTHA",
"middle_name": "HENAO",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2019-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT12138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "884350300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.