Active NPI
Simone Speyer, D.P.T,A.P.,D.O.M
- Physical Therapist
- Pembroke Pines, FL
National Provider Identifier
1669440046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4419
- Practice address
- 454 N University Dr
Pembroke Pines, FL 33024-6720 - Phone
- (954) 443-1926
- Fax
- (954) 443-1936
- NPI assigned
- Mar 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP701 | FL | |
| Physical Therapist | 225100000X | PT4419 | FL | Primary |
Addresses
Primary practice location
454 N University Dr
Pembroke Pines, FL 33024-6720
Mailing address
11336 NW 14TH CT
Pembroke Pines, FL 33026-2639
Phone (954) 732-4592
Other practice location 1
1321 N Palm Ave
Pembroke Pines, FL 33026-3345
Phone (954) 732-4592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.26 of 100
- Quality
- 86.58
- Improvement activities
- 40
- Cost
- 68.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP701 | FL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| In Home Rehab of Florida PLLC | Physical Therapist | Current | Accepting new patients |
| Progressive Orthopedic and Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
Locations
5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 3
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
- Jacksonville, FL
- NPI 1114542032
-
- Physical Therapist
- Hollywood, FL
- NPI 1043613342
-
- Physical Therapy Clinic/Center
- Hollywood, FL
- NPI 1104894575
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1669440046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11336 NW 14TH CT",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330262639",
"telephone_number": "954-732-4592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 N UNIVERSITY DR",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330246720",
"telephone_number": "954-443-1926",
"fax_number": "954-443-1936"
}
],
"practiceLocations": [
{
"address_1": "1321 N Palm Ave",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330263345",
"country_code": "US",
"telephone_number": "954-732-4592",
"fax_number": "954-374-6513",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPEYER",
"first_name": "SIMONE",
"credential": "D.P.T,A.P.,D.O.M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP701",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT4419",
"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 Mar 17, 2018; 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.