Individual provider Active NPI

Xandra N Zayas-Crespo, RPT

  • Physical Therapist
  • Toa Alta, PR
National Provider Identifier
1508061037
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1375 Issued in PR
Practice address
Urb. Gran Vista 1 Camino del Plata
Toa Alta, PR 00953-8530
Phone
(939) 630-2569
Fax
(787) 870-6706
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 1375 PR Primary

Addresses

Primary practice location

Urb. Gran Vista 1 Camino del Plata
Toa Alta, PR 00953-8530

Mailing address

Urb. Gran Vista 1 Camino del Plata
Toa Alta, PR 00953-8530
Phone (939) 630-2569

Other practice location 1

calle B
#41 Urb. Sobrino
Corozal, PR 00783
Phone (939) 630-2569

Other identifiers 1

IdentifierTypeStateIssuer
038279000MedicaidPR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rehabilitaciondorada@gmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822000637 PR Practitioner - Physical Therapist in Private Practice 2769574722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1375PRMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dba Dr. Noel Arnau PastSince Feb 24, 2022 Accepting new patients

Organizations & group practices 2

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1508061037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. GRAN VISTA 1 CAMINO DEL PLATA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009538530",
            "telephone_number": "939-630-2569",
            "fax_number": "787-870-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. GRAN VISTA 1 CAMINO DEL PLATA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009538530",
            "telephone_number": "939-630-2569",
            "fax_number": "787-870-6706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "calle B",
            "address_2": "#41 Urb. Sobrino",
            "address_purpose": "LOCATION",
            "city": "Corozal",
            "state": "PR",
            "postal_code": "00783",
            "country_code": "US",
            "telephone_number": "939-630-2569",
            "fax_number": "787-650-9815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAYAS-CRESPO",
        "first_name": "XANDRA",
        "middle_name": "N",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2022-04-05",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038279000",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rehabilitaciondorada@gmail.com",
            "affiliation": "N",
            "address_1": "Urb. Gran Vista 1 Camino del Plata",
            "city": "Toa Alta",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009538530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.