Active NPI
Wilkins Feliciano Acevedo
- Physical Therapist
- Sabana Grande, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1189
- Practice address
- 100 Ave 5 de Diciembre
Sabana Grande, PR 00637-1961 - Phone
- (787) 873-5999
- Fax
- (787) 873-5999
- NPI assigned
- Nov 7, 2005
- Last updated
- Apr 6, 2010
- Sex
- Male
- 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 Therapist | 225100000X | 1189 | PR | Primary |
Addresses
Primary practice location
100 Ave 5 de Diciembre
Sabana Grande, PR 00637-1961
Mailing address
PO Box 1381
Aguada, PR 00602-1381
Phone (787) 873-5999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050621000057 | PR | Practitioner - Physical Therapist in Private Practice | 5890607154 | Practice locations: Rincon, PR; Sabana Grande, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 Ave 5 de Diciembre
Sabana Grande, PR 00637-1961
Phone (787) 873-5999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1189 | PR | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Equipos Medicos by la Monserrate LLC | Current | Accepting new patients | |
| Terapias la Monserrate,Inc | Current | Accepting new patients | |
| Home Health la Monserrate, Inc | Current | Accepting new patients | |
| Terapia Fisica la Monserrate | Physical Therapist | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Home Health la Monserrate, Inc | Home health agency | 5% Or Greater Direct Ownership Interest (50%) Corporate Director W-2 Managing Employee |
Sep 1, 2012 Nov 16, 2012 Nov 16, 2012 |
| Hospicio la Monserrate | Hospice | 5% Or Greater Direct Ownership Interest (50%) Corporate Director (50%) W-2 Managing Employee (50%) |
Oct 30, 2013 Oct 30, 2013 Oct 30, 2013 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Sabana Grande, PR
- NPI 1467702282
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
-
- Community Based Hospice Care Agency
- Sabana Grande, PR
- NPI 1225435324
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oxygen Equipment & Supplies (DME)
- Aguada, PR
- NPI 1114660107
-
- Physical Therapist
- Sabana Grande, PR
- NPI 1922713957
-
- Home Health Agency
- Sabana Grande, PR
- NPI 1467702282
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Sabana Grande, PR
- NPI 1356708598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270512000000",
"number": "1619958857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1381",
"city": "AGUADA",
"state": "PR",
"postal_code": "006021381",
"telephone_number": "787-873-5999",
"fax_number": "787-873-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 AVE 5 DE DICIEMBRE",
"city": "SABANA GRANDE",
"state": "PR",
"postal_code": "006371961",
"telephone_number": "787-873-5999",
"fax_number": "787-873-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELICIANO ACEVEDO",
"first_name": "WILKINS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2010-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "1189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sabana Grande, PR
- Farmacia Migrant Health Center Sabana Grande
- Farmacia Nored, Inc. (Farmacia Nored)
- Farmacia Sagrado Corazon Express
- Farmacia Sagrado, Inc.
- Farmacia San Isidro
- Feliz & Vega Servicios Avanzados de Salud
- Nestor J Feliz, MD
- Patricia Marie Figueroa Jimenez, ATO
- Angie G Figueroa, M.D.
- Glendaliz Figueroa, LCDA.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.