Active NPI
Richard Tello Halaman
- Physical Therapist
- Coral Springs, FL
National Provider Identifier
1497065601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P12890
- Practice address
- 5900 W Sample Rd Apt 304
Coral Springs, FL 33067-3268 - Phone
- (877) 430-2772
- NPI assigned
- Oct 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P12890 | NC | Primary |
Addresses
Primary practice location
5900 W Sample Rd Apt 304
Coral Springs, FL 33067-3268
Mailing address
5900 W Sample Rd Apt 304
Coral Springs, FL 33067-3268
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P12890 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1497065601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 W SAMPLE RD APT 304",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330673268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 W SAMPLE RD APT 304",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330673268",
"telephone_number": "877-430-2772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALAMAN",
"first_name": "RICHARD",
"middle_name": "TELLO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-21",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P12890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.