NPIMap

Organization Active NPI

Centro de Terapia Fisica Expreso

  • Physical Therapy Clinic/Center
  • Trujillo Alto, PR
National Provider Identifier
1619996006
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CENTRO DE TERAPIA FISICA EXPRESO
Practice address
Ave Periferal G 10
Coop Cuidad Universitaria
Trujillo Alto, PR 00976-2104
Phone
(787) 760-8405
NPI assigned
Jul 18, 2006
Last updated
Mar 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Mrs. Lissette Acosta RiveraNPI 1679797187
Title
Physical Therapy
Phone
(787) 390-6659

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

Ave Periferal G 10
Coop Cuidad Universitaria
Trujillo Alto, PR 00976-2104

Mailing address

PO Box 20897
PO Box 20897
San Juan, PUERTO RICO 00928
UM
Phone (787) 760-8405

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081111000442 PR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3274500806 Receives reassigned benefits from 3 practitioners
Practice locations: Trujillo Alto, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1619996006",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PO BOX 20897",
            "address_2": "PO BOX 20897",
            "city": "SAN JUAN",
            "state": "PUERTO RICO",
            "postal_code": "00928",
            "telephone_number": "787-760-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE PERIFERAL G 10",
            "address_2": "COOP CUIDAD UNIVERSITARIA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009762104",
            "telephone_number": "787-760-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE TERAPIA FISICA EXPRESO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_middle_name": "ACOSTA",
        "authorized_official_title_or_position": "PHYSICAL THERAPY",
        "authorized_official_telephone_number": "787-390-6659",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.