Vista Rehab Center Corp

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

MA 47653 Issued in FL

Legal business name

VISTA REHAB CENTER CORP

Practice address

175 Fontainebleau Blvd Ste 1G2
Miami, FL 33172-4511

Phone

(786) 459-2637

NPI assigned

Jan 19, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vianka De Paz

Title

Owner

Phone

(786) 459-2637

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Vista Rehab Center Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vista Rehab Center Corp

  • Physical Therapy Clinic/Center
  • Miami, FL
  • NPI 1356630255
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1003111246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 1G2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724511",
            "telephone_number": "786-459-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 1G2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724511",
            "telephone_number": "786-459-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA REHAB CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "DE PAZ",
        "authorized_official_first_name": "VIANKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-459-2637"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MA 47653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "MA 47653",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vista Adult Care Inc
• Vista Alegre
• Vista Home Care Services LLC
• Vista Home Health Services Inc
• Vista Pharmacy Corp
• Vista Rehab Center Corp
• Vistavita
• Visual Care and Supplies Inc
• Alexandre G Visvikis, B.S. EX PHYSIOLO
• Smitha Viswanath, APRN

• Physical Therapy Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.