Active NPI
Ann Morales, PTA
- Physical Therapy Assistant
- Hollywood, FL
National Provider Identifier
1679196703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA30119
- Practice address
- 3670 N 54TH Ave
Hollywood, FL 33021-2340 - Phone
- (305) 651-9311
- NPI assigned
- May 23, 2020
- 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 | PTA30119 | FL | Primary |
Addresses
Primary practice location
3670 N 54TH Ave
Hollywood, FL 33021-2340
Mailing address
220 NW 87TH Ave Apt K108
Miami, FL 33172-4520
Phone (786) 641-0360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA30119 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| PTA30119 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590192000000",
"number": "1679196703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 NW 87TH AVE APT K108",
"city": "MIAMI",
"state": "FL",
"postal_code": "331724520",
"telephone_number": "786-641-0360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3670 N 54TH AVE",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330212340",
"telephone_number": "305-651-9311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "ANN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-23",
"last_updated": "2020-05-23",
"certification_date": "2020-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA30119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PTA30119",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "email",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3670 N 54th Ave",
"city": "Hollywood",
"state": "FL",
"country_code": "US",
"postal_code": "330212340",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.