Active NPI
Evelyn Mora, PT
- Physical Therapist
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24842
- Practice address
- 18503 Pines Blvd
Suite 309
Pembroke Pines, FL 33029-1404 - Phone
- (954) 200-4587
- NPI assigned
- Jan 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT24842 | FL | |
| Physical Therapist | 225100000X | PT24842 | FL | Primary |
Addresses
Primary practice location
18503 Pines Blvd
Suite 309
Pembroke Pines, FL 33029-1404
Mailing address
18503 Pines Blvd
Suite 309
Pembroke Pines, FL 33029-1404
Phone (954) 200-4587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18503 Pines Blvd
Suite 309
Pembroke Pines, FL 33029-1406
Phone (305) 987-8904
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healers of Motion Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Neuroscience Consultants LLP | Specialist | Current | Accepting new patients |
| Chomsky Therapy Services Inc. | Physical Therapist | Current | Accepting new patients |
| Namaste Holistic Center, Corp | Past | Accepting new patients |
Locations
6609 Woolbright Rd
Ste 420
Boynton Beach, FL 33437
Phone (561) 200-4262
6609 W Woolbright Rd
#P
Boynton Beach, FL 33437
Phone (561) 200-4262
9960 NW 116th Way
Ste 13
Medley, FL 33178
3659 S Miami Ave
Ste 6003
Miami, FL 33133
Phone (305) 857-9996
8940 SW 88th St
Ste 802E
Miami, FL 33176
Phone (305) 595-4041
18503 Pines Blvd
Ste 308
Pembroke Pines, FL 33029
Phone (954) 239-8959
18503 Pines Blvd
Ste 309
Pembroke Pines, FL 33029
Phone (305) 987-8904
Organizations & group practices 4
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.
-
dba Pembroke Pines Physical Therapy
- Physical Therapist
- Pembroke Pines, FL
- NPI 1922655802
-
- Physical Therapist
- Boynton Beach, FL
- NPI 1568699247
-
- Specialist
- Medley, FL
- NPI 1346217452
-
- Health Service Clinic/Center
- Pembroke Pines, FL
- NPI 1225455561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406246400000",
"number": "1518297993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18503 PINES BLVD",
"address_2": "SUITE 309",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330291404",
"telephone_number": "954-200-4587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18503 PINES BLVD",
"address_2": "SUITE 309",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330291404",
"telephone_number": "954-200-4587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORA",
"first_name": "EVELYN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-06",
"last_updated": "2014-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "PT24842",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT24842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.