Individual provider Active NPI

Eleane Y Tamayo Suarez, PTA

  • Physical Therapy Assistant
  • Hialeah, FL
National Provider Identifier
1699495374
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA27682 Issued in FL
Practice address
1840 W 49TH St Ste 517
Hialeah, FL 33012-2950
Phone
(786) 663-7276
Fax
(305) 397-2988
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA27682 FL Primary

Addresses

Primary practice location

1840 W 49TH St Ste 517
Hialeah, FL 33012-2950

Mailing address

1840 W 49TH St Ste 517
Hialeah, FL 33012-2950
Phone (786) 663-7276

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
PTA27682FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Luxury Therapy Medical Center Corp Current Accepting new patients

Locations

1840 W 49th St
Ste 517
Hialeah, FL 33012
Phone (305) 827-7989

Organizations & group practices 1

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": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1699495374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 517",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122950",
            "telephone_number": "786-663-7276",
            "fax_number": "305-397-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 517",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122950",
            "telephone_number": "786-663-7276",
            "fax_number": "305-397-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAYO SUAREZ",
        "first_name": "ELEANE",
        "middle_name": "Y",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA27682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.