Active NPI
Alicia Ivette Cabrera, PTA
- Physical Therapy Assistant
- Sanford, FL
National Provider Identifier
1619736840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 32939
- Practice address
- 5213 Piper LN
Sanford, FL 32771-5465 - Phone
- (904) 251-5546
- NPI assigned
- Mar 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 32939 | FL | Primary |
Addresses
Primary practice location
5213 Piper LN
Sanford, FL 32771-5465
Mailing address
1021 Windmill Grove Cir
Orlando, FL 32828-7239
Phone (321) 418-2403
Other practice location 1
1730 Lucerne Ter
Orlando, FL 32806-2917
Phone (407) 423-1612
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32939 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg Rehab Solutions LLC | Physical Therapy Assistant | Past | Accepting new patients |
Organizations & group practices 1
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": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1619736840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 WINDMILL GROVE CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287239",
"telephone_number": "321-418-2403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5213 PIPER LN",
"city": "SANFORD",
"state": "FL",
"postal_code": "327715465",
"telephone_number": "904-251-5546"
}
],
"practiceLocations": [
{
"address_1": "1730 Lucerne Ter",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328062917",
"country_code": "US",
"telephone_number": "407-423-1612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CABRERA",
"first_name": "ALICIA",
"middle_name": "IVETTE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-18",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "32939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.