Active NPI
Ciria Quintana Perez, PTA
- Physical Therapist
- Hollywood, FL
National Provider Identifier
1740045681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTA26764
- Practice address
- 450 N Park Rd Ste 200
Hollywood, FL 33021-6919 - Phone
- (866) 961-1744
- NPI assigned
- Feb 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | PTA26764 | FL | Primary |
Addresses
Primary practice location
450 N Park Rd Ste 200
Hollywood, FL 33021-6919
Mailing address
1620 S Congress Ave Ste 201
Palm Springs, FL 33461-2128
Phone (866) 961-1744
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 |
|---|---|---|---|
| PTA26764 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1740045681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 S CONGRESS AVE STE 201",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334612128",
"telephone_number": "866-961-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 N PARK RD STE 200",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216919",
"telephone_number": "866-961-1744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANA PEREZ",
"first_name": "CIRIA",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PTA26764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.