Jandry Concepcion, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36111 Issued in FL

Practice address

7791 NW 46TH St Ste 210
Doral, FL 33166-5482

Phone

(305) 878-0083

Fax

(305) 821-2848

NPI assigned

Apr 20, 2017

Reactivated

May 24, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Meli Therapy Group Inc

  • Early Intervention Provider Agency
  • Hialeah, FL
  • NPI 1316479082
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1386179919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13917 SW 90TH AVE APT B113",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331766963",
            "telephone_number": "305-721-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7791 NW 46TH ST STE 210",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665482",
            "telephone_number": "305-878-0083",
            "fax_number": "305-821-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "JANDRY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "deactivation_date": "2020-08-19",
        "reactivation_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comodin Corp
• Melissa Compere
• Comprehensive Eye Care (Beacon Center Eye Care)
• Blanca C Concepcion, MS OTR/L
• Iliana Concepcion
• Krystal Mercedes Conde, M.S., BCBA
• Michel Condis
• Shenita Coney
• Connect Med Supply LLC
• Donna Jean Conrad, RPH

• Physical Therapist in Doral, FL
• Providers in Doral, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.