Individual provider Active NPI

Carolina Parra-Munoz, PTA

  • Physical Therapy Assistant
  • Orlando, FL
National Provider Identifier
1760196299
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA24898 Issued in FL
Practice address
12064 Sprite LN
Orlando, FL 32832-6593
Phone
(321) 303-6276
Fax
(407) 537-9772
NPI assigned
Jan 10, 2023
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA24898 FL Primary

Addresses

Primary practice location

12064 Sprite LN
Orlando, FL 32832-6593

Mailing address

14229 Lake Preserve Blvd
Orlando, FL 32824-4447
Phone (862) 262-9311

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

LicenseStateTypeSpecialty
PTA24898FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kinesist LLC CurrentSince Jan 15, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1760196299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14229 LAKE PRESERVE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328244447",
            "telephone_number": "862-262-9311",
            "fax_number": "407-537-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12064 SPRITE LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326593",
            "telephone_number": "321-303-6276",
            "fax_number": "407-537-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA-MUNOZ",
        "first_name": "CAROLINA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA24898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.