Organization Active NPI

General Rehabilitation Facility Co

  • Physical Therapy Clinic/Center
  • Hialeah, FL
National Provider Identifier
1043298128
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GENERAL REHABILITATION FACILITY CO
Practice address
855 E 10TH Ave
Hialeah, FL 33010-4645
Phone
(305) 882-7038
Fax
(305) 885-4475
NPI assigned
Jan 9, 2006
Last updated
Jun 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Gerardo Jimenez
Title
President
Phone
(305) 882-7038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

855 E 10TH Ave
Hialeah, FL 33010-4645

Mailing address

855 E 10TH Ave
Hialeah, FL 33010-4645
Phone (305) 882-7038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081121000584 FL Part B Supplier - Clinic/Group Practice 4688607633 Receives reassigned benefits from 4 practitioners
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1043298128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 E 10TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104645",
            "telephone_number": "305-882-7038",
            "fax_number": "305-885-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E 10TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104645",
            "telephone_number": "305-882-7038",
            "fax_number": "305-885-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL REHABILITATION FACILITY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-882-7038"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.