Individual provider Active NPI

Omar Sanchez, PTA

  • Physical Therapy Assistant
  • Key Largo, FL
National Provider Identifier
1649839226
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA28284 Issued in FL
Practice address
100210 Overseas Hwy
Key Largo, FL 33037
Phone
(305) 453-1088
Fax
(305) 453-1183
NPI assigned
Jun 7, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA28284 FL Primary

Addresses

Primary practice location

100210 Overseas Hwy
Key Largo, FL 33037

Mailing address

219 SW 15TH PL
Homestead, FL 33030-6661
Phone (305) 510-7158

Other practice location 1

100210 Overseas Hwy
Key Largo, FL 33037
Phone (305) 453-1088

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

LicenseStateTypeSpecialty
PTA28284FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Rehab, 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.

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1649839226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 SW 15TH PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306661",
            "telephone_number": "305-510-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100210 OVERSEAS HWY",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "33037",
            "telephone_number": "305-453-1088",
            "fax_number": "305-453-1183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100210 Overseas Hwy",
            "address_purpose": "LOCATION",
            "city": "Key Largo",
            "state": "FL",
            "postal_code": "33037",
            "country_code": "US",
            "telephone_number": "305-453-1088",
            "fax_number": "305-453-1183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "OMAR",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA28284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.