Individual provider Active NPI

Rodrigo Andres Andrade, PT

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1043484470
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23676 Issued in FL
Practice address
9456 SW 77TH Ave
Apt T8
Miami, FL 33156-2733
Phone
(305) 898-6874
Fax
(305) 242-9442
NPI assigned
Apr 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT23676 FL Primary

Addresses

Primary practice location

9456 SW 77TH Ave
Apt T8
Miami, FL 33156-2733

Mailing address

9456 SW 77TH Ave
Apt T8
Miami, FL 33156-2733
Phone (305) 898-6874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT23676FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1043484470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9456 SW 77TH AVE",
            "address_2": "APT T8",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562733",
            "telephone_number": "305-898-6874",
            "fax_number": "305-242-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9456 SW 77TH AVE",
            "address_2": "APT T8",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562733",
            "telephone_number": "305-898-6874",
            "fax_number": "305-242-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "RODRIGO",
        "middle_name": "ANDRES",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23676",
            "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 Apr 16, 2008; 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.