Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas Riesco, MSPT

Individual provider Physical Therapist · NPI 1144329160

Douglas Riesco, MSPT is a Physical Therapist in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

12936 SW 133rd Ter
Miami, FL 33186-6951
Phone: (305) 323-5833
Fax: (305) 387-9332
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT20541 (FL)

Record details

NPI number1144329160
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorYes
NPI enumeratedSeptember 22, 2006
Last updated in NPPESDecember 2, 2010
Mailing address12936 Sw 133rd Ter, Miami, FL 33186-6951

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