Organization Active NPI

Mondesir

  • Physical Therapy Clinic/Center
  • Plantation, FL
National Provider Identifier
1992033252
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
21927 Issued in FL
Legal business name
MONDESIR
Practice address
4712 NW 1St CT
Plantation, FL 33317-3138
Phone
(954) 809-5108
NPI assigned
Nov 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Ms. Oldine Mondesir, PTA
Title
Physical Therapist Assistant
Phone
(954) 809-5108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 21927 FL Primary

Addresses

Primary practice location

4712 NW 1St CT
Plantation, FL 33317-3138

Mailing address

4712 NW 1St CT
Plantation, FL 33317-3138
Phone (954) 809-5108

Other identifiers 1

IdentifierTypeStateIssuer
21927OtherFLPHYSICAL THERAPY ASSISTANT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1992033252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 NW 1ST CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173138",
            "telephone_number": "954-809-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 NW 1ST CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173138",
            "telephone_number": "954-809-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONDESIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "MONDESIR",
        "authorized_official_first_name": "OLDINE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "954-809-5108",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "21927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY ASSISTANT",
            "identifier": "21927",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.