Individual provider Active NPI

Ivan Ros, P.T.A.

  • Physical Therapy Assistant
  • Miami, FL
National Provider Identifier
1922148543
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA19569 Issued in FL
Practice address
2869 SW 27TH Ave
Miami, FL 33133-3701
Phone
(305) 444-0074
Fax
(305) 444-8503
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PTA19569 FL Primary

Addresses

Primary practice location

2869 SW 27TH Ave
Miami, FL 33133-3701

Mailing address

4430 SW 129TH PL
Miami, FL 33175-4039
Phone (305) 553-0127

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
PTA19569FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Physical Therapy Associates Inc PastSince May 11, 2005 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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922148543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 SW 129TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754039",
            "telephone_number": "305-553-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2869 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331333701",
            "telephone_number": "305-444-0074",
            "fax_number": "305-444-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROS",
        "first_name": "IVAN",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA19569",
            "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 Jul 8, 2007; 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.