Individual provider Active NPI

Carlos Luis Nicado, DPT

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1396349064
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
10887 NW 17TH St Unit 108
Miami, FL 33172-2044
Phone
(786) 359-4999
Fax
(786) 359-4843
NPI assigned
Nov 24, 2020
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

10887 NW 17TH St Unit 108
Miami, FL 33172-2044

Mailing address

10887 NW 17TH St Unit 108
Miami, FL 33172-2044
Phone (786) 359-4999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210615002109 FL Practitioner - Physical Therapist in Private Practice 9436559358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physical Therapy LLCGroup PAC ID 9133467673, 3 clinicians

Practice addresses (Care Compare)

2690 SW 22ND St Unit
3 Physical Therapy Now Coral Gables
Miami, FL 33135-3406
Phone (305) 615-1628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy LLC Physical Therapist CurrentSince Jul 3, 2021 Accepting new patients
Jade Therapeutics Inc CurrentSince Sep 9, 2022 Accepting new patients
Physical Therapy Now Holdings, LLC Physical Therapist PastSince Sep 9, 2022 Accepting new patients
MD Therapy Solutions, LLC Past Accepting new patients

Locations

2520 Coral Way
Ste 3
Miami, FL 33145

2690 SW 22nd St
Unit 3
Miami, FL 33145
Phone (305) 615-1628

8150 Pines Blvd
Pembroke Pines, FL 33024
Phone (754) 208-3765

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1396349064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10887 NW 17TH ST UNIT 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331722044",
            "telephone_number": "786-359-4999",
            "fax_number": "786-359-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10887 NW 17TH ST UNIT 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331722044",
            "telephone_number": "786-359-4999",
            "fax_number": "786-359-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICADO",
        "first_name": "CARLOS",
        "middle_name": "LUIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.