Individual provider Active NPI

Ana Berta De la Portilla Montero

  • Physical Therapy Assistant
  • Miami, FL
National Provider Identifier
1568154094
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
14040 NW 7TH Ave
Miami, FL 33168-6809
Phone
(754) 707-2250
NPI assigned
May 23, 2023
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Primary

Addresses

Primary practice location

14040 NW 7TH Ave
Miami, FL 33168-6809

Mailing address

3001 SW 67TH LN
Miramar, FL 33023-4811
Phone (786) 372-3819

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

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1568154094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SW 67TH LN",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330234811",
            "telephone_number": "786-372-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 NW 7TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331686809",
            "telephone_number": "754-707-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA PORTILLA MONTERO",
        "first_name": "ANA",
        "middle_name": "BERTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.