Individual provider Active NPI

Alicia Ivette Cabrera, PTA

  • Physical Therapy Assistant
  • Sanford, FL
National Provider Identifier
1619736840
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
32939 Issued in FL
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

Updated by the provider on Mar 18, 2024

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 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

LicenseStateTypeSpecialty
32939FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Amg Rehab Solutions LLC Physical Therapy Assistant PastSince Mar 24, 2024 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.

Verify at the official NPI Registry.