Individual provider Active NPI

Maydel Montanez Ocasio, PT

  • Physical Therapist
  • Gurabo, PR
National Provider Identifier
1922194646
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1269 Issued in PR
Practice address
Marina Plaza
22-23
Gurabo, PR 00778
Phone
(787) 466-0646
Fax
(787) 712-0979
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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 1269 PR Primary

Addresses

Primary practice location

Marina Plaza
22-23
Gurabo, PR 00778

Mailing address

Ciudad Jardin I
Calle Manzanilla 22
Gurabo, PR 00778
Phone (787) 466-0646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070110000075 PR Practitioner - Physical Therapist in Private Practice 9032119359 Reassigns benefits to 1 organization
Practice locations: Gurabo, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Puerto Rico School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Marina Plaza
Suite 189
Gurabo, PR 00778
Phone (787) 737-0781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1269PRMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
S & M Physical Rehabilitation PSC Physical Therapist CurrentSince Mar 5, 2012 Accepting new patients
Cortes Physiatrist Services, PSC 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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1922194646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CIUDAD JARDIN I",
            "address_2": "CALLE MANZANILLA 22",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-466-0646",
            "fax_number": "787-712-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARINA PLAZA",
            "address_2": "22-23",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-466-0646",
            "fax_number": "787-712-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANEZ OCASIO",
        "first_name": "MAYDEL",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.