Individual provider · NPI-1

Jonathan Alicea, PT, DPT

Physical Therapist · Doral, FL

NPI number1629946306
StatusActive
Last updated in NPPESOct 25, 2025

Details

NPI
1629946306
Entity type
Individual (NPI-1)
Name
Mr. Jonathan Alicea
Credential
PT, DPT
Sex
Male
Sole proprietor
No
Enumeration date
Oct 25, 2025
Certification date
Oct 25, 2025
Last updated
Oct 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT42464FLYes

Practice location

2686 Nw 97th Ave
Doral, FL 33172-1400

Phone 786-542-5867

Mailing address

2686 Nw 97th Ave
Doral, FL 33172-1400

Phone 786-542-5867

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