Organization Active NPI

Eloi Physical Therapy PSC

  • Physical Therapy Clinic/Center
  • Florida, PR
National Provider Identifier
1821212978
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1216 Issued in PR
Legal business name
ELOI PHYSICAL THERAPY PSC
Practice address
39 Calle Ramon Torres
Florida, PR 00650-2040
Phone
(787) 466-9466
Fax
(787) 822-0710
NPI assigned
Apr 12, 2007
Last updated
Mar 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Sofia Vazquez Chacon, PT
Title
President
Phone
(787) 466-9466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1216 PR Primary

Addresses

Primary practice location

39 Calle Ramon Torres
Florida, PR 00650-2040

Mailing address

PO Box 2083
Hatillo, PR 00659-9083
Phone (787) 466-9466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090212000005 PR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5395820443 Receives reassigned benefits from 1 practitioner
Practice locations: Adjuntas, PR; Hatillo, PR

National Provider Directory

National Provider Directory

Locations

9 Calle Santa Ana
Adjuntas, PR 00601
Phone (787) 466-9466

39 Calle Ramon Torres
Florida, PR 00650
Phone (787) 466-9466

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1821212978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2083",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006599083",
            "telephone_number": "787-466-9466",
            "fax_number": "787-822-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CALLE RAMON TORRES",
            "city": "FLORIDA",
            "state": "PR",
            "postal_code": "006502040",
            "telephone_number": "787-466-9466",
            "fax_number": "787-822-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELOI PHYSICAL THERAPY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "CHACON",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_middle_name": "VAZQUEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-466-9466",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": "1216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.