Mauricio Longton, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30024 Issued in FL

Practice address

4800 NE 20TH Ter Ste 303
Fort Lauderdale, FL 33308-4510

Phone

(954) 771-8177

NPI assigned

Nov 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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 Orthopedic Centers of Excellence, LLC

  • Orthopaedic Surgery Physician
  • Plantation, FL
  • NPI 1841757580
  NPD (past)
• Meli Orthopedic Centers of Excellence,LLC.

  • Specialist
  • Ft Lauderdale, FL
  • NPI 1568581502
  NPD (past)

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1396347753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162743",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327162743",
            "telephone_number": "954-580-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NE 20TH TER STE 303",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084510",
            "telephone_number": "954-771-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGTON",
        "first_name": "MAURICIO",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-11",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine London, LCSW
• Vanessa Londono, PMHNP
• Daniela Sales Long
• Jamie N. Long, PSY.D.
• Latanya Long, M.S., BCBA
• Longvilleacu
• Lonnie M Epstein MD PA
• Lauren Loparo, LMT
• Izabela Lopes Cardozo
• Gabriela Lopes, FNP-BC

• Physical Therapy Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.