Individual provider Active NPI

Michael Carvajal, DPT

  • Physical Therapist
  • Pembroke Pines, FL
National Provider Identifier
1629782131
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39544 Issued in FL
Practice address
9050 Pines Blvd Ste 102
Pembroke Pines, FL 33024-6400
Phone
(954) 241-3692
NPI assigned
Jan 9, 2023
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT39544 FL Primary

Addresses

Primary practice location

9050 Pines Blvd Ste 102
Pembroke Pines, FL 33024-6400

Mailing address

777 SE 20TH St Ste 200
Ft Lauderdale, FL 33316-3589
Phone (786) 218-3114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230306000750 FL Practitioner - Physical Therapist in Private Practice 2860865219 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHW Medical Group LLCGroup PAC ID 5991100232, 8 clinicians

Practice addresses (Care Compare)

848 Brickell Ave
Suite 210
Miami, FL 33131-2981
Phone (305) 479-2973

9050 Pines Blvd
Suite 102
Pembroke Pines, FL 33024-6400
Phone (954) 241-3692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39544FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Palms Chiropractic Health Center Inc CurrentSince Jan 1, 2023 Accepting new patients
USA Sports Medicine Broward Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
VHW Medical Group LLC Physical Therapist CurrentSince Jan 15, 2023 Accepting new patients
Carmen L Muresan MD PA Past Accepting new patients

Locations

6201 N Federal Hwy
Boca Raton, FL 33487
Phone (561) 245-8103

777 SE 20th St
Ste 200
Ft Lauderdale, FL 33316
Phone (954) 302-7717

21150 Biscayne Blvd
Ste 406
Miami, FL 33180

848 Brickell Ave
Ste 210
Miami, FL 33131
Phone (305) 377-0017

9050 Pines Blvd
Ste 102
Pembroke Pines, FL 33024
Phone (954) 241-3692

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.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1629782131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 SE 20TH ST STE 200",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163589",
            "telephone_number": "786-218-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246400",
            "telephone_number": "954-241-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVAJAL",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.