Individual provider Active NPI

Amanda De Moura Berenguer, PT

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1720971302
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT43182 Issued in FL
Practice address
4324 N Federal Hwy
Fort Lauderdale, FL 33308-5208
Phone
(954) 369-5787
Fax
(954) 206-7733
NPI assigned
Jun 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT43182 FL Primary

Addresses

Primary practice location

4324 N Federal Hwy
Fort Lauderdale, FL 33308-5208

Mailing address

7463 Viscaya Cir
Margate, FL 33063-6893
Phone (754) 249-0892

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250609000719 FL Practitioner - Physical Therapist in Private Practice 3577073667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Physio Therapy and WellnessGroup PAC ID 2365783420, 14 clinicians

Practice addresses (Care Compare)

4324 N Federal Hwy
Fort Lauderdale, FL 33308-5208
Phone (954) 369-5787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Physio Therapy & Wellness CurrentSince Jun 2, 2025 Accepting new patients
Dr. Physio Therapy & Wellness CurrentSince Jun 2, 2025 Accepting new patients

Locations

3205 S Federal Hwy
Ste 8
Delray Beach, FL 33483
Phone (954) 369-5787

4318 N Federal Hwy
Fort Lauderdale, FL 33308
Phone (954) 369-5787

4324 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 210-4915

Organizations & group practices 2

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": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1720971302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7463 VISCAYA CIR",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330636893",
            "telephone_number": "754-249-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085208",
            "telephone_number": "954-369-5787",
            "fax_number": "954-206-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENGUER",
        "first_name": "AMANDA",
        "middle_name": "DE MOURA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT43182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.