Individual provider Active NPI

Ronnie Pedrosa Bargayo, PT

  • Physical Therapist
  • Delray Beach, FL
National Provider Identifier
1669744017
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032350 Issued in NY
Practice address
16244 S Military TRL
Suite 750
Delray Beach, FL 33484-6534
Phone
(407) 701-5073
Fax
(561) 450-6716
NPI assigned
Feb 1, 2012
Reactivated
Apr 25, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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 032350 NY Primary

Addresses

Primary practice location

16244 S Military TRL
Suite 750
Delray Beach, FL 33484-6534

Mailing address

16244 S Military TRL
Suite 750
Delray Beach, FL 33484-6534
Phone (407) 701-5073

Other identifiers 1

IdentifierTypeStateIssuer
3471014MedicaidNY

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Uni Health Medical PC PastSince Sep 1, 2005 Accepting new patients
Great City Medical PC PastSince Oct 31, 2017 Accepting new patients
Galaxy Medical PC Physical Therapist PastSince May 1, 2013 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1669744017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL",
            "address_2": "SUITE 750",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846534",
            "telephone_number": "407-701-5073",
            "fax_number": "561-450-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL",
            "address_2": "SUITE 750",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846534",
            "telephone_number": "407-701-5073",
            "fax_number": "561-450-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGAYO",
        "first_name": "RONNIE",
        "middle_name": "PEDROSA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-01",
        "last_updated": "2018-04-25",
        "deactivation_date": "2017-12-22",
        "reactivation_date": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3471014",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.

Verify at the official NPI Registry.