Jessica Sibori, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30900 Issued in FL

Practice address

6760 Orchid Dr
Miami Lakes, FL 33014-2645

Phone

(305) 790-1594

NPI assigned

Feb 25, 2021

Last updated

Feb 25, 2021By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1437743887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 ORCHID DR",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142645",
            "telephone_number": "305-790-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 ORCHID DR",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142645",
            "telephone_number": "305-790-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBORI",
        "first_name": "JESSICA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Miami Lakes, FL
• Providers in Miami Lakes, 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 Feb 25, 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.