Individual provider Active NPI

Kyrenia Maqueira, PTA

  • Physical Therapy Assistant
  • Miami, FL
National Provider Identifier
1831664168
Registry record updated Oct 13, 2018
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Dec 20, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA27151 Issued in FL
Practice address
8871 Fontainebleau Blvd Apt 504
Miami, FL 33172-4468
Phone
(386) 466-5625
Fax
(786) 615-6754
NPI assigned
Oct 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA27151 FL Primary

Addresses

Primary practice location

8871 Fontainebleau Blvd Apt 504
Miami, FL 33172-4468

Mailing address

8871 Fontainebleau Blvd Apt 504
Miami, FL 33172-4468
Phone (386) 466-5625

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PTA27151FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
K & M Therapy Services Corp Past Accepting new patients

Organizations & group practices 1

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": "1539388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539388800000",
    "number": "1831664168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8871 FONTAINEBLEAU BLVD APT 504",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724468",
            "telephone_number": "386-466-5625",
            "fax_number": "786-615-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8871 FONTAINEBLEAU BLVD APT 504",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724468",
            "telephone_number": "386-466-5625",
            "fax_number": "786-615-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAQUEIRA",
        "first_name": "KYRENIA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-13",
        "last_updated": "2018-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA27151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.