Active NPI
Amor Miguel Ladia, PT
- Physical Therapist
- Winter Haven, FL
National Provider Identifier
1811026081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5986
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213840 | Other | FL | AMERIGROUP |
| 826886 | Other | FL | AETNA HMO |
| 102318 | Other | FL | AVMED |
| Y910G | Other | FL | BCBS GROUP NO. |
| 5239004 | Other | FL | AETNA PPO |
| Y910J | Other | FL | BCBS INDIVIDUAL NO. |
| Y4056 | Other | FL | BCBS 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT5986 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Specialists Inc. - Winter Haven | Physical Therapist | Past | 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.
-
- Physical Therapist
- Lakeland, FL
- NPI 1477682516
-
- Physical Therapist
- Winter Haven, FL
- NPI 1487782157
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.