Active NPI
Maria Fe Dories Libunao Agdeppa, RPT
- Physical Therapist
- Sunrise, FL
National Provider Identifier
1801238688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1223780
- Practice address
- 4011 N Pine Island Rd
1-404
Sunrise, FL 33351-6520 - Phone
- (954) 560-3485
- NPI assigned
- Jul 22, 2013
- 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 | 1223780 | TX | Primary |
Addresses
Primary practice location
4011 N Pine Island Rd
1-404
Sunrise, FL 33351-6520
Mailing address
4011 N Pine Island Rd
1-404
Sunrise, FL 33351-6520
Phone (954) 560-3485
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 |
|---|---|---|---|
| 1223780 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374451200000",
"number": "1801238688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 N PINE ISLAND RD",
"address_2": "1-404",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333516520",
"telephone_number": "954-560-3485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 N PINE ISLAND RD",
"address_2": "1-404",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333516520",
"telephone_number": "954-560-3485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGDEPPA",
"first_name": "MARIA FE DORIES",
"middle_name": "LIBUNAO",
"name_prefix": "Miss",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-22",
"last_updated": "2013-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1223780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.