Active NPI
Gelly Adarraga
- Physical Therapist
- Weston, FL
National Provider Identifier
1467840140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30583
- Practice address
- 2233 N Commerce Pkwy Ste 1
Weston, FL 33326-3252 - Phone
- (954) 356-2878
- NPI assigned
- Jan 2, 2015
- Last updated
- Aug 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT30583 | FL | Primary |
| Developmental Therapist | 222Q00000X |
Addresses
Primary practice location
2233 N Commerce Pkwy Ste 1
Weston, FL 33326-3252
Mailing address
2233 N Commerce Pkwy Ste 1
Weston, FL 33326-3252
Phone (954) 956-2878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT30583 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1467840140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 N COMMERCE PKWY STE 1",
"city": "WESTON",
"state": "FL",
"postal_code": "333263252",
"telephone_number": "954-956-2878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 N COMMERCE PKWY STE 1",
"city": "WESTON",
"state": "FL",
"postal_code": "333263252",
"telephone_number": "954-356-2878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADARRAGA",
"first_name": "GELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-02",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT30583",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.