Active NPI
David Crespo Jr., PTA
- Physical Therapy Assistant
- Davie, FL
National Provider Identifier
1497428684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA30857
- Practice address
- 5850 S Pine Island Rd
Davie, FL 33328-5933 - Phone
- (954) 800-5826
- NPI assigned
- Jul 26, 2021
- Sex
- Male
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | PTA30857 | FL | Primary |
Addresses
Primary practice location
5850 S Pine Island Rd
Davie, FL 33328-5933
Mailing address
17267 NW 60TH CT
Hialeah, FL 33015-4664
Phone (786) 395-4955
Other practice location 1
3183 SW 38th Ct
Miami, FL 33146-1528
Phone (305) 501-0231
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 |
|---|---|---|---|
| PTA30857 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631404800000",
"number": "1497428684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17267 NW 60TH CT",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330154664",
"telephone_number": "786-395-4955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 S PINE ISLAND RD",
"city": "DAVIE",
"state": "FL",
"postal_code": "333285933",
"telephone_number": "954-800-5826"
}
],
"practiceLocations": [
{
"address_1": "3183 SW 38th Ct",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331461528",
"country_code": "US",
"telephone_number": "305-501-0231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRESPO",
"first_name": "DAVID",
"name_suffix": "Jr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-26",
"last_updated": "2021-09-12",
"certification_date": "2021-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA30857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.