Individual provider Active NPI

Teresa Luther

  • Medical Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1972857605
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9106899 Issued in FL
Practice address
2700 W Cypress Creek Rd Ste C100
Fort Lauderdale, FL 33309-1741
Phone
(954) 974-3111
NPI assigned
Nov 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9106899 FL
Medical Physician Assistant 363AM0700X PA9106899 FL Primary

Addresses

Primary practice location

2700 W Cypress Creek Rd Ste C100
Fort Lauderdale, FL 33309-1741

Mailing address

5220 NE 20TH Ave
Fort Lauderdale, FL 33308-3121
Phone (954) 873-2926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180118002727 FL Practitioner - Physician Assistant 7113227828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2700 W Cypress Creek Rd
Suite C100
Fort Lauderdale, FL 33309-1741
Phone (954) 974-3111

4623 Forest Hill Blvd
Suite 101
West Palm Beach, FL 33415-9120
Phone (561) 967-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9106899FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Palm Beach Physicians & Urgent Care, Inc. CurrentSince Mar 4, 2019 Accepting new patients
Ronald S Smith OD PA Past Accepting new patients

Locations

8100 Royal Palm Blvd
Ste 103104
Coral Springs, FL 33065
Phone (954) 345-6789

2700 W Cypress Creek Rd
Ste C100
Ft Lauderdale, FL 33309
Phone (954) 974-3111

4623 Forest Hill Blvd
Ste 101
West Palm Beach, FL 33415
Phone (561) 966-7194

Organizations & group practices 4

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": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1972857605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 NE 20TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083121",
            "telephone_number": "954-873-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W CYPRESS CREEK RD STE C100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091741",
            "telephone_number": "954-974-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTHER",
        "first_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-02",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106899",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9106899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.