Active NPI
Nelson Manuel Aviles, MSPT
- Physical Therapist
- Cutler Bay, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17995
- Practice address
- 21830 SW 98TH Ave
Cutler Bay, FL 33190-1183 - Phone
- (305) 975-0716
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | PT17995 | FL | Primary |
Addresses
Primary practice location
21830 SW 98TH Ave
Cutler Bay, FL 33190-1183
Mailing address
21830 SW 98TH Ave
Cutler Bay, FL 33190-1183
Phone (305) 975-0716
Other practice location 1
9028 SW 152nd St
Palmetto Bay, FL 33157-1928
Phone (305) 661-1612
Other practice location 2
30201 SW 172nd Ave
Homestead, FL 33030-4820
Phone (786) 872-5013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00393900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Jefferson Medical College of Thomas Jefferson University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9028 SW 152ND St
Palmetto Bay, FL 33157-1928
Phone (305) 661-1612
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Touch Rehabilitation Inc | Physical Therapist | Current | Accepting new patients |
| Hop, Skip and a Jump Pediatric Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Healis Rehabilitation Center | Past | Accepting new patients |
Locations
9028 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 254-3500
Organizations & group practices 3
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.
-
dba South Miami Physical Therapy & Pilates
- Physical Therapy Clinic/Center
- Palmetto Bay, FL
- NPI 1932457157
Physical Therapist
-
dba The Children's Clinic
- Rehabilitation Clinic/Center
- Village of Palmetto Bay, FL
- NPI 1326022823
-
- Clinic/Center
- Homestead, FL
- NPI 1851867204
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577318400000",
"number": "1437102134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21830 SW 98TH AVE",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331901183",
"telephone_number": "305-975-0716",
"fax_number": "305-975-0716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21830 SW 98TH AVE",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331901183",
"telephone_number": "305-975-0716"
}
],
"practiceLocations": [
{
"address_1": "9028 SW 152nd St",
"address_purpose": "LOCATION",
"city": "Palmetto Bay",
"state": "FL",
"postal_code": "331571928",
"country_code": "US",
"telephone_number": "305-661-1612",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30201 SW 172nd Ave",
"address_purpose": "LOCATION",
"city": "Homestead",
"state": "FL",
"postal_code": "330304820",
"country_code": "US",
"telephone_number": "786-872-5013",
"fax_number": "305-513-5931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AVILES",
"first_name": "NELSON",
"middle_name": "MANUEL",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2019-12-26",
"certification_date": "2019-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT17995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00393900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.