NPIMap

Organization Active NPI

Smith Physical Therapy Rehabilitation Corp

  • Legal Medicine
  • Miami, FL
National Provider Identifier
1013933191
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
ME81313 Issued in FL
Legal business name
SMITH PHYSICAL THERAPY REHABILITATION CORP
Practice address
640 NW 36TH CT
Suite D
Miami, FL 33125-4038
Phone
(305) 631-8555
Fax
(305) 671-3266
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Pena
Title
President
Phone
(305) 631-8555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X ME81313 FL Primary

Addresses

Primary practice location

640 NW 36TH CT
Suite D
Miami, FL 33125-4038

Mailing address

640 NW 36TH CT
Suite D
Miami, FL 33125-4038
Phone (305) 631-8555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013933191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 NW 36TH CT",
            "address_2": "SUITE D",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254038",
            "telephone_number": "305-631-8555",
            "fax_number": "305-671-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 NW 36TH CT",
            "address_2": "SUITE D",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254038",
            "telephone_number": "305-631-8555",
            "fax_number": "305-671-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH PHYSICAL THERAPY REHABILITATION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-631-8555"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME81313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.