Active NPI
Jean Pascal Pradel, RPT.
- Physical Therapist
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20304
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y101E | Other | FL | BLUE CROSS BLUE SHIELD |
| 023894300 | Medicaid | FL |
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, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Now Cutler Bay LLC | Current | Accepting new patients | |
| Maxwellness Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Motion Recovery Corp | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Hialeah, FL
- NPI 1881083475
Physical Therapist
-
- Clinic/Center
- Miami, FL
- NPI 1629830179
-
- Physical Therapist
- Hialeah, FL
- NPI 1417350588
-
- Speech-Language Pathologist
- Miami, FL
- NPI 1457569469
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.