NPIMap

Individual provider Active NPI

Nancy Patricia Nino Yepes, PT.

  • Physical Therapist
  • Hialeah, FL
National Provider Identifier
1902191497
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21405 Issued in FL
Practice address
7760 W 20TH Ave Ste 1
Hialeah, FL 33016-1829
Phone
(305) 819-8755
Fax
(305) 819-8740
NPI assigned
Jun 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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 PT21405 FL Primary

Addresses

Primary practice location

7760 W 20TH Ave Ste 1
Hialeah, FL 33016-1829

Mailing address

7760 W 20TH Ave Ste 1
Hialeah, FL 33016-1829
Phone (305) 819-8755

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

LicenseStateTypeSpecialty
PT21405FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Life Rehabilitacion Center Past Accepting new patients
Quality Life Rehabilitation Center Past Accepting new patients

Organizations & group practices 2

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1902191497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 W 20TH AVE STE 1",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161829",
            "telephone_number": "305-819-8755",
            "fax_number": "305-819-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 W 20TH AVE STE 1",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161829",
            "telephone_number": "305-819-8755",
            "fax_number": "305-819-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINO YEPES",
        "first_name": "NANCY",
        "middle_name": "PATRICIA",
        "credential": "PT.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21405",
            "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 Jun 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.