Active NPI
J Carino Jomillo, PT
- Physical Therapist
- Miami, FL
National Provider Identifier
1821579038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 31866
- Practice address
- 5200 NE 2ND Ave
Miami, FL 33137-2706 - Phone
- (305) 751-8626
- NPI assigned
- Aug 25, 2018
- 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 | 31866 | FL | Primary |
Addresses
Primary practice location
5200 NE 2ND Ave
Miami, FL 33137-2706
Mailing address
1475 NE 121St St Apt 411
North Miami, FL 33161-6545
Phone (716) 499-3566
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31866 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535155200000",
"number": "1821579038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 NE 121ST ST APT 411",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331616545",
"telephone_number": "716-499-3566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 NE 2ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331372706",
"telephone_number": "305-751-8626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOMILLO",
"first_name": "J",
"middle_name": "CARINO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-25",
"last_updated": "2018-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "31866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.