Active NPI
Sanjaimon Naduparambil II
- Physical Therapist
- Weston, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 19750
- Practice address
- 4022 Turquoise TRL
Weston, FL 33331-3182 - Phone
- (954) 274-0415
- Fax
- (954) 302-2893
- NPI assigned
- Jul 10, 2006
- Last updated
- Aug 16, 2010
- 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 | PT 19750 | FL | Primary |
Addresses
Primary practice location
4022 Turquoise TRL
Weston, FL 33331-3182
Mailing address
4022 Turquoise TRL
Weston, FL 33331-3182
Phone (954) 274-0415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8080 Pasadena Blvd
Suite B
Pembroke Pines, FL 33024-3537
Phone (954) 252-9619
8080 Pasadena Boulevard
Suite B
Pembroke Pines, FL 33024-3537
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 19750 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maya Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Absolute Rehabilitation Corp. | Physical Therapist | Past | Accepting new patients |
| United Care Home Health Services LLC | Past | Accepting new patients |
Locations
5745 S University Dr
Davie, FL 33328
Phone (954) 252-9619
8080 Pasadena Blvd
#B
Pembroke Pines, FL 33024
Phone (954) 252-9619
Organizations & group practices 3
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 Therapist
- Davie, FL
- NPI 1962717868
-
- Physical Therapist
- Davie, FL
- NPI 1477586477
-
- Home Health Agency
- Davie, FL
- NPI 1760510226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1801829817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4022 TURQUOISE TRL",
"city": "WESTON",
"state": "FL",
"postal_code": "333313182",
"telephone_number": "954-274-0415",
"fax_number": "954-302-2893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4022 TURQUOISE TRL",
"city": "WESTON",
"state": "FL",
"postal_code": "333313182",
"telephone_number": "954-274-0415",
"fax_number": "954-302-2893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADUPARAMBIL",
"first_name": "SANJAIMON",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 19750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.