Individual provider Active NPI

Ana M. Vertus, MPH

  • Developmental Therapist
  • Coral Springs, FL
National Provider Identifier
1518153394
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
11967 NW 55TH St
Coral Springs, FL 33076-3223
Phone
(954) 254-8366
Fax
(954) 341-3839
NPI assigned
Sep 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-152254 CO
Developmental Therapist 222Q00000X Primary

Addresses

Primary practice location

11967 NW 55TH St
Coral Springs, FL 33076-3223

Mailing address

11967 NW 55TH St
Coral Springs, FL 33076-3223
Phone (954) 254-8366

Other identifiers 1

IdentifierTypeStateIssuer
812055200MedicaidFL

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

LicenseStateTypeSpecialty
RBT-21-152254COMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1518153394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11967 NW 55TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763223",
            "telephone_number": "954-254-8366",
            "fax_number": "954-341-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11967 NW 55TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763223",
            "telephone_number": "954-254-8366",
            "fax_number": "954-341-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERTUS",
        "first_name": "ANA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2021-07-01",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "RBT-21-152254",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812055200",
            "state": "FL"
        }
    ],
    "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 Jul 1, 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.

Verify at the official NPI Registry.