Active NPI
Maria Ceballos, DPT
- Physical Therapist
- Leesburg, FL
National Provider Identifier
1992108542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT29451
- Practice address
- 600 North Boulevard, W. Suite D
Leesburg, FL 34748 - Phone
- (352) 787-9300
- NPI assigned
- Sep 26, 2014
- Last updated
- Oct 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT29451 | FL | Primary |
Addresses
Primary practice location
600 North Boulevard, W. Suite D
Leesburg, FL 34748
Mailing address
3889 SE 142ND St
Summerfield, FL 34491-7174
Phone (352) 454-8772
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT29451 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1992108542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3889 SE 142ND ST",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344917174",
"telephone_number": "352-454-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 NORTH BOULEVARD, W. SUITE D",
"city": "LEESBURG",
"state": "FL",
"postal_code": "34748",
"telephone_number": "352-787-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEBALLOS",
"first_name": "MARIA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-26",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT29451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, FL
- Carolyn Casler
- Azenith Casupang, OTR/L
- Jennifer Caswell
- CCRC - Lake Port Square, LLC (Lake Port Square Health Center)
- Cdpa, Inc (Lake Regional Hearing Center)
- Patricia Rose Cecil, NP
- Centerwell Senior Primary Care (FL) Inc. (CenterWell Senior Primary Care of Leesburg)
- Central Florida Associated Primary Care Physicians, PA (Hawk & Puglia Family Practice Physicians)
- Central Florida Foot Care, P.a.
- Central Florida Hematology and Oncology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.