Individual provider Active NPI

Abigail Meletiche-Ferrer

  • Physical Therapist
  • San Juan, PR
National Provider Identifier
1487828588
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
612 Issued in PR
Practice address
Calle Torreon Ad17A Venus Garden
San Juan, PR 00926
Phone
(787) 349-4773
NPI assigned
Apr 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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 612 PR Primary

Addresses

Primary practice location

Calle Torreon Ad17A Venus Garden
San Juan, PR 00926

Mailing address

Calle Torreon Ad17A Venus Garden
San Juan, PR 00926
Phone (787) 349-4773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080630000223 PR Practitioner - Physical Therapist in Private Practice 2264504646 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Centro de Terapia Fisica ExpresoGroup PAC ID 3274500806, 2 clinicians
Clinica Terapia Fisica Isla VerdeGroup PAC ID 4082831698, 2 clinicians

Practice addresses (Care Compare)

Ave Periferal
G10 Cooperativa Ciudad Universitaria
Trujillo Alto, PR 00976-2104
Phone (787) 760-8405

Carolina Shopping Court
Local 26 a (Sofano)
Carolina, PR 00985-5672
Phone (787) 453-0050

Laguna Garden Shopping Ctr
Suite 116 1ER Nivel
Carolina, PR 00979-6525
Phone (787) 253-0396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Terapia Fisica Expreso Physical Therapist CurrentSince Jan 17, 2020 Accepting new patients
Clinica Terapia Fisica Isla Verde Physical Therapist CurrentSince Mar 1, 2014 Accepting new patients
Centro Fisiatrico Y Rehabilitacion CurrentSince Jan 17, 2020 Accepting new patients

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": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1487828588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE TORREON AD17A VENUS GARDEN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-349-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE TORREON AD17A VENUS GARDEN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-349-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELETICHE-FERRER",
        "first_name": "ABIGAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.