Active NPI
Wilfred Ureta, PT
- Physical Medicine & Rehabilitation Physician
- Altamonte Springs, FL
National Provider Identifier
1710562566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 24002
- Practice address
- 539 One Center Blvd Apt 206
Altamonte Springs, FL 32701-2243 - Phone
- (407) 718-3238
- NPI assigned
- Mar 12, 2021
- Sex
- Male
- 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 Medicine & Rehabilitation Physician | 208100000X | 24002 | FL | Primary |
Addresses
Primary practice location
539 One Center Blvd Apt 206
Altamonte Springs, FL 32701-2243
Mailing address
539 One Center Blvd Apt 206
Altamonte Springs, FL 32701-2243
Phone (407) 718-3238
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24002 | Other | FL | PT FLORIDA DEPT OF HEALTH |
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 |
|---|---|---|---|
| 24002 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1710562566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 ONE CENTER BLVD APT 206",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327012243",
"telephone_number": "407-718-3238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 ONE CENTER BLVD APT 206",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327012243",
"telephone_number": "407-718-3238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URETA",
"first_name": "WILFRED",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-12",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "24002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT FLORIDA DEPT OF HEALTH",
"identifier": "24002",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.