Active NPI
Anarelis Cruz, PTA
- Physical Therapy Assistant
- Orlando, FL
National Provider Identifier
1649777442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA24501
- Practice address
- 5069 Walnut Ridge Dr
Orlando, FL 32829-8271 - Phone
- (321) 303-6276
- Fax
- (321) 235-7311
- NPI assigned
- Apr 9, 2018
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | PTA24501 | FL | Primary |
Addresses
Primary practice location
5069 Walnut Ridge Dr
Orlando, FL 32829-8271
Mailing address
5069 Walnut Ridge Dr
Orlando, FL 32829-8271
Phone (321) 303-6276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA24501 | Other | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA24501 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinesist LLC | Past | 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.
-
- Physical Therapist
- Orlando, FL
- NPI 1710490354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1649777442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5069 WALNUT RIDGE DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328298271",
"telephone_number": "321-303-6276",
"fax_number": "321-235-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5069 WALNUT RIDGE DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328298271",
"telephone_number": "321-303-6276",
"fax_number": "321-235-7311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "ANARELIS",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-09",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA24501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PTA24501",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.