Individual provider Active NPI

Jean Pascal Pradel, RPT.

  • Physical Therapist
  • Hialeah, FL
National Provider Identifier
1609965227
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20304 Issued in FL
Practice address
18600 NW 87TH Ave Unit 126
Hialeah, FL 33015-3536
Phone
(954) 869-4310
Fax
(305) 869-4313
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT20304 FL Primary

Addresses

Primary practice location

18600 NW 87TH Ave Unit 126
Hialeah, FL 33015-3536

Mailing address

18600 NW 87TH Ave Unit 126
Hialeah, FL 33015-3536
Phone (954) 869-4310

Other identifiers 2

IdentifierTypeStateIssuer
Y101EOtherFLBLUE CROSS BLUE SHIELD
023894300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130423000157 FL Practitioner - Physical Therapist in Private Practice 6305082132 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Motion Recovery CorpGroup PAC ID 6002165305, 4 clinicians

Practice addresses (Care Compare)

18600 NW 87TH Ave
Unit 126
Hialeah, FL 33015-3536
Phone (954) 869-4310

664 E 25 St
Suite 102
Hialeah, FL 33013-3806
Phone (786) 732-0189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Now Cutler Bay LLC CurrentSince Apr 1, 2024 Accepting new patients
Maxwellness Physical Therapy LLC Physical Therapist CurrentSince Oct 1, 2015 Accepting new patients
Motion Recovery Corp Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Maxwellness Physical Therapy Physical Therapist Current Accepting new patients
Bio Networks Incorporated Past Accepting new patients
Bio Networks Incorporated Physical Therapist Past Accepting new patients

Locations

664 E 25th St
Ste 102
Hialeah, FL 33013
Phone (786) 409-2651

18600 NW 87th Ave
Unit 126
Hialeah, FL 33015
Phone (954) 869-4310

11517 Quail Roost Dr
Miami, FL 33157
Phone (786) 394-7098

12277 SW 130th St
Miami, FL 33186
Phone (305) 244-5883

Organizations & group practices 6

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1609965227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18600 NW 87TH AVE UNIT 126",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153536",
            "telephone_number": "954-869-4310",
            "fax_number": "305-869-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 NW 87TH AVE UNIT 126",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153536",
            "telephone_number": "954-869-4310",
            "fax_number": "305-869-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADEL",
        "first_name": "JEAN",
        "middle_name": "PASCAL",
        "credential": "RPT.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y101E",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023894300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.