Individual provider Active NPI

Alex Pereda, P.T.

  • Orthopedic Physical Therapist
  • Miami, FL
National Provider Identifier
1447386156
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT16622 Issued in FL
Practice address
8585 Sunset Dr
Suite 103
Miami, FL 33143-3746
Phone
(305) 274-3311
Fax
(305) 274-1411
NPI assigned
Feb 26, 2007
Last updated
Feb 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT16622 FL Primary

Addresses

Primary practice location

8585 Sunset Dr
Suite 103
Miami, FL 33143-3746

Mailing address

7860 SW 129TH Ter
Pinecrest, FL 33156-6154
Phone (305) 274-3311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040715000244 FL Practitioner - Physical Therapist in Private Practice 5092794008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Healthcare Network IncGroup PAC ID 7911986922, 3 clinicians

Practice addresses (Care Compare)

3650 NW 82 Ave
Unit 105
Doral, FL 33166-6662
Phone (305) 697-6102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Healthcare Network Inc CurrentSince Jan 31, 2003 Accepting new patients

Locations

3650 NW 82nd Ave
Ste 105
Doral, FL 33166
Phone (305) 537-7227

8585 Sunset Dr
Ste 103
Miami, FL 33143
Phone (305) 274-3311

7805 SW 24th St
Ste 125
Miami, FL 33155
Phone (305) 264-7574

1796 SE Indian St
Stuart, FL 34997
Phone (631) 871-0168

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, 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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1447386156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7860 SW 129TH TER",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331566154",
            "telephone_number": "305-274-3311",
            "fax_number": "305-274-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 SUNSET DR",
            "address_2": "SUITE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331433746",
            "telephone_number": "305-274-3311",
            "fax_number": "305-274-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREDA",
        "first_name": "ALEX",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT16622",
            "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 Feb 20, 2014; 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.