Individual provider Active NPI

Evelyn Johana Ardon, DPT

  • Orthopedic Physical Therapist
  • Miami Lakes, FL
National Provider Identifier
1700225398
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT27919 Issued in FL
Practice address
15600 NW 67TH Ave Ste 306
Miami Lakes, FL 33014-2176
Phone
(786) 238-7660
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT27919 FL Primary

Addresses

Primary practice location

15600 NW 67TH Ave Ste 306
Miami Lakes, FL 33014-2176

Mailing address

15600 NW 67TH Ave Ste 306
Miami Lakes, FL 33014-2176

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

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1700225398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 NW 67TH AVE STE 306",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 NW 67TH AVE STE 306",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142176",
            "telephone_number": "786-238-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDON",
        "first_name": "EVELYN",
        "middle_name": "JOHANA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT27919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.