Active NPI
Terence Peppard, M.D.,P.a.
- Physical Medicine & Rehabilitation Physician
- Miami, FL
National Provider Identifier
1992783385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- TERENCE PEPPARD, M.D.,P.A.
- Practice address
- 3663 S Miami Ave
Kohly Center at Mercy
Miami, FL 33133-4253 - Phone
- (305) 652-7134
- Fax
- (305) 677-3126
- NPI assigned
- Jan 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eileen Feinerman
- Title
- Office Manager
- Phone
- (305) 652-7134
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
3663 S Miami Ave
Kohly Center at Mercy
Miami, FL 33133-4253
Mailing address
4350 N Jefferson Ave
Miami Beach, FL 33140-2934
Phone (305) 652-7134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376722100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040916000970 | FL | Part B Supplier - Clinic/Group Practice | 3577530641 |
Receives reassigned benefits from 3 practitioners Practice locations: Miami, FL |
National Provider Directory
National Provider DirectoryLocations
3661 S Miami Ave
Ste 108
Miami, FL 33133
Phone (305) 856-8942
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Miami, FL
- NPI 1225019672
FL, Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697068800000",
"number": "1992783385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4350 N JEFFERSON AVE",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331402934",
"telephone_number": "305-652-7134",
"fax_number": "305-677-3126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3663 S MIAMI AVE",
"address_2": "KOHLY CENTER AT MERCY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334253",
"telephone_number": "305-652-7134",
"fax_number": "305-677-3126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERENCE PEPPARD, M.D.,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-05",
"last_updated": "2023-10-12",
"status": "A",
"authorized_official_last_name": "FEINERMAN",
"authorized_official_first_name": "EILEEN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "305-652-7134"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376722100",
"state": "FL"
}
],
"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 Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.