Individual provider Active NPI

Marcela Maria Peraza, MPT

  • Physical Therapist
  • Weston, FL
National Provider Identifier
1962544163
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20392 Issued in FL
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

Updated by the provider on Mar 28, 2022

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 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
PT20392FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.