Individual provider Active NPI

Joel Javier Zorrilla, PTA

  • Physical Therapy Assistant
  • Doral, FL
National Provider Identifier
1982297735
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA29138 Issued in FL
Practice address
7791 NW 46TH St
Doral, FL 33166-5477
Phone
(786) 445-1126
NPI assigned
Feb 12, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X PTA29138 FL Primary

Addresses

Primary practice location

7791 NW 46TH St
Doral, FL 33166-5477

Mailing address

19723 NW 49TH PL
Miami Gardens, FL 33055-1735
Phone (786) 445-1126

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Joel.zorrilla@outlook.com

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
PTA29138FLMDPhysical Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1982297735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19723 NW 49TH PL",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551735",
            "telephone_number": "786-445-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7791 NW 46TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665477",
            "telephone_number": "786-445-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORRILLA",
        "first_name": "JOEL",
        "middle_name": "JAVIER",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA29138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Joel.zorrilla@outlook.com",
            "affiliation": "N",
            "address_1": "19723 NW 49th Pl",
            "city": "Miami Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330551735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.