Lissa Maria Caraballo

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30473 Issued in FL

Practice address

7800 S Red Rd Ste 205
South Miami, FL 33143-5542

Phone

(305) 854-2471

NPI assigned

Apr 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kids Therapy Connection

  • Speech-Language Pathologist
  • South Miami, FL
  • NPI 1275838948

  Single Specialty

  NPD

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1730822644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6933 SW 166TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 S RED RD STE 205",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435542",
            "telephone_number": "305-854-2471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2095 SW 1st St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331351602",
            "country_code": "US",
            "telephone_number": "305-642-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARABALLO",
        "first_name": "LISSA",
        "middle_name": "MARIA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene A Canali, D.C.
• Patricia De la Caridad Canals Morlan
• Mayelin Canizares, NP-C
• Dianne Capra
• Carol Joan Caraballo, LCSW
• Yvette Carballosa-Hernandez, P.A.
• Carlos A Carbonell
• Jaime A Carbonell, D.P.M.
• Wendy Marisela Cardenas, ARNP-BC
• Nicole Lianne Cardona-Florez, DO

• Physical Therapy Assistant in South Miami, FL
• Providers in South Miami, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.