Peggy L De Lara, A.P., OMD

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA2040 Issued in FL

Practice address

2555 2ND Ave N
St Petersburg, FL 33713-8705

Phone

(727) 385-7528

Fax

(727) 321-1178

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1598784332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10493",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337330493",
            "telephone_number": "727-385-7528",
            "fax_number": "727-321-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 2ND AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138705",
            "telephone_number": "727-385-7528",
            "fax_number": "727-321-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LARA",
        "first_name": "PEGGY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "A.P., OMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 1751",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA2040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "106898",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ada De Jesus Caraballo
• Miriandra De Jesus Rivera, M.D.
• Lutgarda Sanchez De Jesus
• Magdeline De la Cruz Lago, BCABA
• Karleidys De la Hoz
• Rachael Catherine De Lorenzo, BS., BCBA
• De Lucia Family Dental, LLC
• Paul De Lucia, DOM
• Nicole Chantal De Paz, MD
• Rose Margaret De Sapio, MS

• Physical Therapy Assistant in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.