Individual provider Active NPI

Judith Mourino, MECHANO THERAPIST

  • Mechanotherapist
  • Miami, FL
National Provider Identifier
1699038992
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA65381 Issued in FL
Practice address
9369 Fountainbleu Blvd
Miami, FL 33172
Phone
(786) 970-2542
Fax
(786) 275-4132
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA65381 FL Primary

Addresses

Primary practice location

9369 Fountainbleu Blvd
Miami, FL 33172

Mailing address

9369 Fountainbleau Blvd
Miami, FL 33172-5686
Phone (786) 970-2542

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
MA65381FLMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1699038992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9369 FOUNTAINBLEAU BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331725686",
            "telephone_number": "786-970-2542",
            "fax_number": "786-275-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9369 FOUNTAINBLEU BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33172",
            "telephone_number": "786-970-2542",
            "fax_number": "786-275-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURINO",
        "first_name": "JUDITH",
        "credential": "MECHANO THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA65381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.