Active NPI
Kyrenia Maqueira, PTA
- Physical Therapy Assistant
- Miami, FL
National Provider Identifier
1831664168
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.
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA27151
- 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
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 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA27151 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinic/Center
- Miami, FL
- NPI 1477028702
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.