JEANNETTE MARIA ICAZA – Physical Therapist, NPI 1851538706

JEANNETTE MARIA ICAZA is a healthcare provider. based in Dania beach, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT24207 (FL). The NPI Number for JEANNETTE MARIA ICAZA is 1851538706

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
JEANNETTE MARIA ICAZA
NPI
1851538706
Phone
Not provided
Address
1040 SE 7TH CT APT 304
Enumeration Date
14 January 2009
Last Update Date
25 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774073422
Graduation Year
2007 (19 years ago)
PAC ID
2567837776
Group Practice PAC ID
7416345921
Professional Enrollment ID
I20230331000282
Address ID
FL342432920SA8450XRDXX400

Contacts

Main Contact
https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness95
Years active:17State licenses:1Other names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for JEANNETTE MARIA ICAZA

  • 1040 SE 7TH CT APT 304

    DANIA BEACH, FL 330045308

    Phone:

    Type: Mailing

  • 112, Federal Highway, Dania Beach, Broward County, Florida, 33004, United States

    DANIA BEACH, FL 330043623

    Phone: (954) 456-3511

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230331000282IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes86528$0
97535Training for self-care or home management, each 15 minutes69949$0
29581Application of vein wound compression bandages on lower leg, ankle, and foot29523$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes21025$0
97161Evaluation for physical therapy, typically 20 minutes4038$0
View full utilization report →

Insurance plans in this area (ZIP 33004)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416345921View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Can I verify JEANNETTE MARIA ICAZA with an NPI only?
You can start verification with NPI 1851538706 for JEANNETTE MARIA ICAZA, then check state licensing separately.
Does the file indicate JEANNETTE MARIA ICAZA is practicing under active NPI?
Directory data currently reports JEANNETTE MARIA ICAZA as active.
What is JEANNETTE MARIA ICAZA best known for clinically?
Directory data describes JEANNETTE MARIA ICAZA with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect JEANNETTE MARIA ICAZA on a map?
Expect Dania Beach, Florida as a primary anchor for JEANNETTE MARIA ICAZA unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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