Individual provider Active NPI

Nelson Manuel Aviles, MSPT

  • Physical Therapist
  • Cutler Bay, FL
National Provider Identifier
1437102134
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17995 Issued in FL
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

Updated by the provider on Dec 26, 2019

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 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

IdentifierTypeStateIssuer
00393900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060908000379 FL Practitioner - Physical Therapist in Private Practice 6103820964 Reassigns benefits to 1 organization

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
Healing Touch Rehabilitation IncGroup PAC ID 1052750155, 2 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Touch Rehabilitation Inc Physical Therapist CurrentSince Mar 24, 2024 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.

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.

Verify at the official NPI Registry.