Active NPI
Physical Therapeutic Services
- Physical Therapy Clinic/Center
- Miami Lakes, FL
National Provider Identifier
1013293802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT17664
- Legal business name
- PHYSICAL THERAPEUTIC SERVICES
- Practice address
- 5881 NW 151St St Ste 127
Miami Lakes, FL 33014-2442 - Phone
- (305) 827-0208
- Fax
- (305) 827-0280
- NPI assigned
- Oct 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ana Isabel Pernet
- Title
- President
- Phone
- (305) 338-2689
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT17664 | FL | Primary |
Addresses
Primary practice location
5881 NW 151St St Ste 127
Miami Lakes, FL 33014-2442
Mailing address
5881 NW 151St St Ste 127
Miami Lakes, FL 33014-2442
Phone (305) 827-0208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FH315A | Other | FL | MEDICARE PROVIDER NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Physical Therapeutic Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Miami Lakes, FL
- NPI 1750675922
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Hialeah, FL
- NPI 1750570818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319500800000",
"number": "1013293802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5881 NW 151ST ST STE 127",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142442",
"telephone_number": "305-827-0208",
"fax_number": "305-827-0280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5881 NW 151ST ST STE 127",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142442",
"telephone_number": "305-827-0208",
"fax_number": "305-827-0280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL THERAPEUTIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-25",
"last_updated": "2011-10-25",
"status": "A",
"authorized_official_last_name": "PERNET",
"authorized_official_first_name": "ANA",
"authorized_official_middle_name": "ISABEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-338-2689"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "PT17664",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "FH315A",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.