Individual provider Active NPI

Evelyn Capdevila, MPT

  • Physical Therapist
  • Hialeah, FL
National Provider Identifier
1821235854
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19324 Issued in FL
Practice address
900 W 49TH St
Suite 304
Hialeah, FL 33012-3402
Phone
(305) 823-3131
NPI assigned
Jan 13, 2009
Last updated
Jan 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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 PT19324 FL Primary

Addresses

Primary practice location

900 W 49TH St
Suite 304
Hialeah, FL 33012-3402

Mailing address

900 W 49TH St
Suite 304
Hialeah, FL 33012-3402
Phone (305) 823-3131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040913000304 FL Practitioner - Physical Therapist in Private Practice 2860469681 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physical Therapy LLCGroup PAC ID 9133467673, 3 clinicians

Practice addresses (Care Compare)

1435 W 49TH PL
Suite 301
Hialeah, FL 33012-3147
Phone (305) 392-1216

2690 SW 22ND St Unit
3 Physical Therapy Now Coral Gables
Miami, FL 33135-3406
Phone (305) 615-1628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT19324FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Charis Optical LLC Physical Therapist CurrentSince Nov 13, 2019 Accepting new patients
Premier Physical Therapy LLC Physical Therapist CurrentSince Jun 18, 2019 Accepting new patients
Specific Rehab Services, Inc. Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
The Personal Injury Clinic Inc Past Accepting new patients
Framar Medical and Rehabilitation Center, Inc. Past Accepting new patients
Physical Therapy Now Holdings, LLC Physical Therapist Past Accepting new patients
Jade Therapeutics Inc Past Accepting new patients
Procare Rehab and Wellness Inc. Past Accepting new patients

Locations

1435 W 49th Pl
Ste 301
Hialeah, FL 33012
Phone (305) 392-1216

2690 SW 22nd St
Unit 3
Miami, FL 33145
Phone (305) 615-1628

1075 NE 125th St
Ste 102
North Miami, FL 33161

2170 NE 123rd St
North Miami, FL 33181
Phone (716) 245-6555

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1821235854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST",
            "address_2": "SUITE 304",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123402",
            "telephone_number": "305-823-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST",
            "address_2": "SUITE 304",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123402",
            "telephone_number": "305-823-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPDEVILA",
        "first_name": "EVELYN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.

Verify at the official NPI Registry.