Kevin Buitrago
Individual provider Active NPI Physical Therapist · Pinecrest, FL
NPI 1629720297 · NPPES record last updated Jan 25, 2022
Key facts
- NPI
- 1629720297
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT38055 (FL)
- Practice address
- 13101 S Dixie Hwy Ste 330
Pinecrest, FL 33156-6530 - Phone
- (786) 732-7438
- NPI assigned
- Jan 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT38055 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinecrest PT-South L.L.C. | Physical Therapist | Current |
Accepting new patients |
Locations
13101 S Dixie Hwy
Ste 330
Pinecrest, FL 33156
Phone (786) 732-7438
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT38055 | FL | Yes |
Addresses
Primary practice location
13101 S Dixie Hwy Ste 330
Pinecrest, FL 33156-6530
Mailing address
9801 SW 4TH St
Miami, FL 33174-1904
Other providers in Pinecrest, FL
- Emily Bortnik
- Ronald Jess Boswell
- Julia Bowman
- Bowtie Dental
- Kimberly Brigham
- Rachna Buxani
- Calm Care Dental Associates, Inc
- Analaura Camejo
- Care for Life Therapy Inc
- Estela Maria Carmona
All providers in Pinecrest, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.