Active NPI
Juan Carrasquilla
- Physical Therapist
- Hollywood, FL
National Provider Identifier
1932344173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 050086378
- Practice address
- 3212 Wilson St
Hollywood, FL 33021-4449 - Phone
- (954) 707-2317
- NPI assigned
- Dec 2, 2008
- Last updated
- Dec 2, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 050086378 | IN | Primary |
Addresses
Primary practice location
3212 Wilson St
Hollywood, FL 33021-4449
Mailing address
3212 Wilson St
Hollywood, FL 33021-4449
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050086378 | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228176000000",
"number": "1932344173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3212 WILSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330214449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3212 WILSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330214449",
"telephone_number": "954-707-2317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRASQUILLA",
"first_name": "JUAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-02",
"last_updated": "2008-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "050086378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.