Active NPI
Nizette I Cordero, RPT
- Physical Therapist
- Hatillo, PR
National Provider Identifier
1760480180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 871
- Practice address
- Carr. 129 KM 13.6
Bo. Bayaney
Hatillo, PR 00659-0000 - Phone
- (787) 898-5885
- Fax
- (787) 898-5885
- NPI assigned
- Jul 9, 2005
- Last updated
- Dec 15, 2007
- 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 | 871 | PR | Primary |
Addresses
Primary practice location
Carr. 129 KM 13.6
Bo. Bayaney
Hatillo, PR 00659-0000
Mailing address
Reparto Marquez
Calle 9 G-26
Arecibo, PR 00612-0000
Phone (787) 898-5885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89222 | Other | PR | TRIPLE-S (REFORMA) |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 871 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Terapia Fisica de Lares, Inc. | Past | 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.
-
- Physical Therapy Clinic/Center
- Hatillo, PR
- NPI 1851399273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197676800000",
"number": "1760480180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "REPARTO MARQUEZ",
"address_2": "CALLE 9 G-26",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006120000",
"telephone_number": "787-898-5885",
"fax_number": "787-898-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 129 KM 13.6",
"address_2": "BO. BAYANEY",
"city": "HATILLO",
"state": "PR",
"postal_code": "006590000",
"telephone_number": "787-898-5885",
"fax_number": "787-898-5885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDERO",
"first_name": "NIZETTE",
"middle_name": "I",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-09",
"last_updated": "2007-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "871",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE-S (REFORMA)",
"identifier": "89222",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hatillo, PR
- Concepto de Salud Inc
- Consultorio Medico Dr. Obed R. Garcia Acevedo, CSP
- Orlando Cordero Nevarez, M.T.S.
- Miguel Angel Cordero Rodriguez, MD
- Enery M Cordero- Guillama, M.D.
- Sujehil Milagros Cordero
- Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo
- Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo
- Corporacion Servicios Medicos Primarios Y Prevencion de Hatillo
- Corporacion Servicios Medicos Primarios Y Prevencion de Hatillo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.