Individual provider Active NPI

Amor Miguel Ladia, PT

  • Physical Therapist
  • Winter Haven, FL
National Provider Identifier
1811026081
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5986 Issued in FL
Practice address
141 Avenue C SW
Suite 150
Winter Haven, FL 33880-3273
Phone
(863) 293-3700
Fax
(863) 292-0417
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5986 FL Primary

Addresses

Primary practice location

141 Avenue C SW
Suite 150
Winter Haven, FL 33880-3273

Mailing address

141 Avenue C SW
Suite 150
Winter Haven, FL 33880-3273
Phone (863) 293-3700

Other identifiers 7

IdentifierTypeStateIssuer
213840OtherFLAMERIGROUP
826886OtherFLAETNA HMO
102318OtherFLAVMED
Y910GOtherFLBCBS GROUP NO.
5239004OtherFLAETNA PPO
Y910JOtherFLBCBS INDIVIDUAL NO.
Y4056OtherFLBCBS INDIVIDUAL NO.

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

LicenseStateTypeSpecialty
PT5986FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Specialists Inc. - Winter Haven Physical Therapist PastSince Jan 25, 2010 Accepting new patients
Rehab Specialists Inc. - Winter Haven Physical Therapist Past Accepting new patients
Rehab Specialists, Inc. Physical Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811026081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 AVENUE C SW",
            "address_2": "SUITE 150",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803273",
            "telephone_number": "863-293-3700",
            "fax_number": "863-292-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 AVENUE C SW",
            "address_2": "SUITE 150",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803273",
            "telephone_number": "863-293-3700",
            "fax_number": "863-292-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADIA",
        "first_name": "AMOR",
        "middle_name": "MIGUEL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT5986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "213840",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "826886",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "102318",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NO.",
            "identifier": "Y910G",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5239004",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL NO.",
            "identifier": "Y910J",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL NO.",
            "identifier": "Y4056",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.