Individual provider Active NPI

Fulvia Vlieg Barrera, PT

  • Neurology Physical Therapist
  • Miami, FL
National Provider Identifier
1699780189
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
PT2843 Issued in FL
Practice address
9055 SW 87 Ave
Suite 312
Miami, FL 33176-2306
Phone
(305) 412-9099
Fax
(305) 412-9098
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2843 FL
Geriatric Physical Therapist 2251G0304X PT2843 FL
Neurology Physical Therapist 2251N0400X PT2843 FL Primary
Orthopedic Physical Therapist 2251X0800X PT2843 FL

Addresses

Primary practice location

9055 SW 87 Ave
Suite 312
Miami, FL 33176-2306

Mailing address

9055 SW 87 Ave
Suite 312
Miami, FL 33176-2306
Phone (305) 412-9099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120809000322 FL Practitioner - Physical Therapist in Private Practice 5799719050 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT2843FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Rehabilitation Consultants Inc Physical Therapist CurrentSince Apr 1, 2002 Accepting new patients

Locations

11301 S Dixie Hwy
Unit 565841
Miami, FL 33256

9055 SW 87th Ave
Ste 312
Miami, FL 33176
Phone (305) 412-9099

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1699780189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 SW 87 AVE",
            "address_2": "SUITE 312",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762306",
            "telephone_number": "305-412-9099",
            "fax_number": "305-412-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 SW 87 AVE",
            "address_2": "SUITE 312",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762306",
            "telephone_number": "305-412-9099",
            "fax_number": "305-412-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERA",
        "first_name": "FULVIA",
        "middle_name": "VLIEG",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT2843",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "FL",
            "license": "PT2843",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "FL",
            "license": "PT2843",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT2843",
            "primary": false
        }
    ],
    "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 Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.