Active NPI
Ali Ladak, PT, DPT
- Physical Therapist
- Miami Gardens, FL
National Provider Identifier
1770817066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24754
- Practice address
- 2727 NW 167TH St
Miami Gardens, FL 33056-4406 - Phone
- (305) 622-7575
- Fax
- (305) 622-9464
- NPI assigned
- Sep 20, 2009
- Sex
- Male
- 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 | PT24754 | FL | Primary |
Addresses
Primary practice location
2727 NW 167TH St
Miami Gardens, FL 33056-4406
Mailing address
1221 Genoa Locke Townline Rd
Locke, NY 13092-3174
Phone (716) 462-2243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001837400 | Medicaid | FL |
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 |
|---|---|---|---|
| PT24754 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1770817066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 GENOA LOCKE TOWNLINE RD",
"city": "LOCKE",
"state": "NY",
"postal_code": "130923174",
"telephone_number": "716-462-2243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330564406",
"telephone_number": "305-622-7575",
"fax_number": "305-622-9464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADAK",
"first_name": "ALI",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-20",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT24754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001837400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.