Active NPI
Marcela Maria Peraza, MPT
- Physical Therapist
- Weston, FL
National Provider Identifier
1962544163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20392
- Practice address
- 4407 Laurel Ridge Cir
Weston, FL 33331-4010 - Phone
- (305) 987-7803
- Fax
- (954) 573-6507
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PT20392 | FL | Primary |
Addresses
Primary practice location
4407 Laurel Ridge Cir
Weston, FL 33331-4010
Mailing address
4407 Laurel Ridge Cir
Weston, FL 33331-4010
Phone (305) 987-7803
Other practice location 1
2734 Jackson St
Hollywood, FL 33020-4812
Phone (305) 987-7803
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Weston |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT20392 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcela Peraza, MPT, PA | Specialist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Hollywood, FL
- NPI 1104025527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1962544163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4407 LAUREL RIDGE CIR",
"city": "WESTON",
"state": "FL",
"postal_code": "333314010",
"telephone_number": "305-987-7803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4407 LAUREL RIDGE CIR",
"city": "WESTON",
"state": "FL",
"postal_code": "333314010",
"telephone_number": "305-987-7803",
"fax_number": "954-573-6507"
}
],
"practiceLocations": [
{
"address_1": "2734 Jackson St",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330204812",
"country_code": "US",
"telephone_number": "305-987-7803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERAZA",
"first_name": "MARCELA",
"middle_name": "MARIA",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT20392",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Weston",
"affiliation": "N",
"address_1": "4407 Laurel Ridge Cir",
"city": "Weston",
"state": "FL",
"country_code": "US",
"postal_code": "333314010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.