NPI Code Detail JSON Logo

1619425345 NPI number — MICHELLE LUCERO FERRERA MSPT

NPI Number: 1619425345
Health Care Provider/Practitioner: MICHELLE LUCERO FERRERA MSPT

Information about “1619425345” NPI (MICHELLE LUCERO FERRERA MSPT) exists in 1619425345 in HTML format HTML  |  1619425345 in plain Text format TXT  |  1619425345 in PDF (Portable Document Format) PDF  |  1619425345 in an XML format XML  formats.

NPI Number : 1619425345 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619425345",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FERRERA",
    "FirstName": "MICHELLE",
    "MiddleName": "LUCERO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LUCERO",
    "OtherFirstName": "MICHELLE",
    "OtherMiddleName": "BLANCAFLOR",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MSPT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "13137 SORRENTO RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PENSACOLA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32507-8777",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-416-0025",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5151 N 9TH AVE",
    "SecondLinePracticeLocationAddress": "DEPARTMENT OF PHYSICAL MEDICINE & REHABILITATION",
    "PracticeLocationAddressCityName": "PENSACOLA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32504-8721",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-416-7340",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/11/2016",
    "LastUpdateDate": "05/15/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "PT20817",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.