Individual provider Active NPI

Evelyn Mora, PT

  • Physical Therapist
  • Pembroke Pines, FL
National Provider Identifier
1518297993
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24842 Issued in FL
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

Updated by the provider on Jul 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20100505000009 FL Practitioner - Physical Therapist in Private Practice 1355479809 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Healers of Motion Physical Therapy LLC Physical Therapist CurrentSince Aug 6, 2020 Accepting new patients
Neuroscience Consultants LLP Specialist CurrentSince Jan 1, 2010 Accepting new patients
Chomsky Therapy Services Inc. Physical Therapist CurrentSince Sep 9, 2019 Accepting new patients
Namaste Holistic Center, Corp PastSince Aug 6, 2020 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.

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.

Verify at the official NPI Registry.