DR. SUZETTE NICOLE BLANCO (NPI# 1043608193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043608193 |
| Entity Type | Individual |
| Full Name | DR. SUZETTE NICOLE BLANCO |
| Credential | DPT |
| Practice Address |
2685 Executive Park Dr Ste 4 Weston FL 33331-3651 |
| Mailing Address |
630 Nw 195th Ave Pembroke Pines FL 33029-3271 |
| Practice Telephone | 9545150892 |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2016-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT29979 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 014078000 | 05 |
| Street Address |
2685 EXECUTIVE PARK DR STE 4 |
| City | WESTON |
| State | FL |
| Zip Code | 33331-3651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487767679 | Susan Mariela Lendich | Physical Therapist | 2685 Executive Park Dr Ste 4, Weston, FL 33331-3651 | 2006-08-15 |
| 1942801865 | Oriett Garay | Psychologist | 2685 Executive Park Dr Ste 4, Weston, FL 33331-3651 | 2020-11-06 |
| 1306450564 | Damaris Naranjo | Occupational Therapy Assistant | 2685 Executive Park Dr Ste 4, Weston, FL 33331-3651 | 2020-09-04 |
| 1194211862 | Shana Britt Merchant | Physical Therapy Assistant | 2685 Executive Park Dr Ste 4, Weston, FL 33331-3651 | 2018-07-06 |
| 1013405455 | Urvi Mehta | Physical Therapy Assistant | 2685 Executive Park Dr Ste 4, Weston, FL 33331-3651 | 2018-04-30 |
| 1497109961 | Kendra Garcia | Occupational Therapy Assistant | 2685 Executive Park Dr Ste 4, Weston, FL 33331-3651 | 2016-04-20 |
| 1982088373 | Karla Reyes | Occupational Therapy Assistant | 2685 Executive Park Dr Ste 4, Weston, FL 33331-3651 | 2015-07-15 |
| 1366697625 | Lady S Villalona | Speech-Language Pathologist | 2685 Executive Park Dr Ste 4, Weston, FL 33331-3651 | 2008-11-28 |
| 1205949328 | A Therapy Inc | Physical Therapist | 2685 Executive Park Dr Ste 4, Weston, FL 33331-3651 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427679836 | Health Diagnostics of Fort Lauderdale, LLC | Radiology | 16604 Sheridan Street, Pembroke Pines, FL 33331 | 2020-04-27 |
| 1689212854 | Rumman Ahmed Khalid | Student in an Organized Health Care Education/Training Program | 16129 Opal Creek Drive, Weston, FL 33331 | 2019-12-18 |
| 1275015505 | B & B Monitoring LLC | Emergency Response System Companies | 4474 Weston Road, Suite 3, Ft Lauderdale, FL 33331 | 2018-09-04 |
| 1609367747 | Gerardo Minsal, Md Pa | Internal Medicine | 16720 Sapphire Springs, Weston, FL 33331 | 2018-05-24 |
| 1447747258 | Mario Ricardo Pimentel | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Boulevard, Weston, FL 33331 | 2018-04-17 |
| 1619471547 | Farida Makubelly Law | Nurse Practitioner | 3100 Cleveland Clinic, Weston, FL 33331 | 2018-03-23 |
| 1942709902 | John Kross Pharmacy #2, Inc | Pharmacy | 16618 Sheridan St, Fort Lauderdale, FL 33331 | 2018-02-06 |
| 1922512342 | Luisa Fernanda Quevedo | Occupational Therapy Assistant | 4350 Mahogany Ridge Dr, Weston, FL 33331 | 2017-11-21 |
| 1144752551 | Therese Youssef Andraos | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Blvd., Weston, FL 33331 | 2017-04-03 |
| 1255720843 | Horse and Petting Pal Interaction, Inc. | Counselor | 17800 Sw 52 Ct, Southwest Ranches, FL 33331 | 2015-01-20 |
| Find all providers in zip 33331 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988481 | Jacqueline Cleereman | Physical Therapist | 2106 Schofield Ave Ste 5, Weston, WI 54476-2412 | 2020-10-06 |
| 1710446596 | Catherine Lourdes Chin | Physical Therapist | 421 Cameron Dr, Weston, FL 33326-3517 | 2019-03-19 |
| 1043791841 | Lindsey Bragg | Physical Therapist | 500 Sabal Way, Weston, FL 33326-3313 | 2018-08-28 |
| 1154827723 | Ligia Loverde | Physical Therapist | 4252 Pine Ridge Ct, Weston, FL 33331-5028 | 2018-04-03 |
| 1467991497 | Yuliya Rybatskaya Gronowetter | Physical Therapist | 159 Steep Hill Rd, Weston, CT 06883-1923 | 2017-02-23 |
| 1679931125 | Rudolf Alviedo | Physical Therapist | 4208 Mahogany Ridge Dr, Weston, FL 33331-3826 | 2016-01-28 |
| 1124490867 | Gage Hartman | Physical Therapist | 1 Spruce Hill Rd, Weston, MA 02493-2133 | 2015-10-21 |
| 1467840140 | Gelly Adarraga | Physical Therapist | 2233 N Commerce Pkwy Ste 1, Weston, FL 33326-3252 | 2015-01-02 |
| 1992114508 | Formula for Performance & Rehab, LLC | Physical Therapist | 59 Valley Forge Rd, Weston, CT 06883-1912 | 2014-08-07 |
| 1912316928 | Amanda Z Stieglitz | Physical Therapist | 2229 N Commerce Pkwy Ste 250, Weston, FL 33326 | 2014-08-05 |
| Find all providers in WESTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.