Active NPI
Beatriz Lizaso, MPT
- Physical Therapist
- Pembroke Pines, FL
National Provider Identifier
1659517308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT18102
- Practice address
- 111 Grand Palms Dr
Pembroke Pines, FL 33027-1329 - Phone
- (305) 405-0400
- NPI assigned
- Dec 31, 2008
- 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 Therapist | 225100000X | PT18102 | FL | Primary |
Addresses
Primary practice location
111 Grand Palms Dr
Pembroke Pines, FL 33027-1329
Mailing address
17510 NW 7TH CT
Pembroke Pines, FL 33029-3106
Phone (954) 805-5117
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 |
|---|---|---|---|
| PT18102 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230681600000",
"number": "1659517308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17510 NW 7TH CT",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330293106",
"telephone_number": "954-805-5117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 GRAND PALMS DR",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271329",
"telephone_number": "305-405-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIZASO",
"first_name": "BEATRIZ",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-31",
"last_updated": "2008-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT18102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
- Little Love Therapy, LLC
- Little Puzzles Behavioral Center LLC
- Living Loving Laughing Home LLC
- Living Stone Nephrology and Hypertension Consultants Inc
- Living Well Home Care, LLC.
- Raul Lizaso, DMD
- Kristian Carlos Llaca, OTD,OTR/L, ATP,CSRS
- Omar Hidalgo Llaguna, MD
- Dania Leticia Llana, APRN
- Vanessa Llanes Hernandez, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.