Active NPI
Jethro Art Hernandez Gatdula, PT
- Neurology Physical Therapist
- Miami, FL
National Provider Identifier
1861436131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- PT21281
- Practice address
- 152 NE 167TH St
101
Miami, FL 33162-3400 - Phone
- (305) 949-9866
- Fax
- (305) 949-4844
- NPI assigned
- Jun 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | PT21281 | FL | Primary |
| Orthopedic Physical Therapist | 2251X0800X | PT21281 | FL |
Addresses
Primary practice location
152 NE 167TH St
101
Miami, FL 33162-3400
Mailing address
2815 N Course Dr
106 B
Pompano Beach, FL 33069-3075
Phone (954) 696-3464
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Associates Group | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
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": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1861436131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2815 N COURSE DR",
"address_2": "106 B",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330693075",
"telephone_number": "954-696-3464",
"fax_number": "954-970-9291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 NE 167TH ST",
"address_2": "101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331623400",
"telephone_number": "305-949-9866",
"fax_number": "305-949-4844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATDULA",
"first_name": "JETHRO ART",
"middle_name": "HERNANDEZ",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "FL",
"license": "PT21281",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT21281",
"primary": false
}
],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.