Individual provider Active NPI

Aniherica Mora, PTA

  • Physical Therapy Assistant
  • Miami, FL
National Provider Identifier
1972084085
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA27209 Issued in FL
Practice address
12595 SW 137TH Ave Ste 104
Miami, FL 33186-4218
Phone
(786) 382-5024
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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 PTA27209 FL Primary

Addresses

Primary practice location

12595 SW 137TH Ave Ste 104
Miami, FL 33186-4218

Mailing address

12595 SW 137TH Ave Ste 104
Miami, FL 33186-4218
Phone (786) 382-5024

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
PTA27209FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Recovery Corp CurrentSince Jan 12, 2018 Accepting new patients
Motion Recovery Corp Current Accepting new patients

Locations

12595 SW 137th Ave
Ste 104
Miami, FL 33186
Phone (786) 382-5024

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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1972084085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12595 SW 137TH AVE STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864218",
            "telephone_number": "786-382-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12595 SW 137TH AVE STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864218",
            "telephone_number": "786-382-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "ANIHERICA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA27209",
            "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 Aug 27, 2018; 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.