Organization Active NPI

Ultimate Performance Fitness Consultants PL

  • Physical Therapy Clinic/Center
  • Doral, FL
National Provider Identifier
1043641269
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
27898 Issued in FL
Legal business name
ULTIMATE PERFORMANCE FITNESS CONSULTANTS PL
Practice address
9831 NW 58TH St #130
Doral, FL 33178
Phone
(305) 456-0529
NPI assigned
Dec 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Mr. Carlos Javier Jimenez, DPT
Title
Manager-Head Physical Therapist
Phone
(305) 904-7732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 27898 FL Primary

Addresses

Primary practice location

9831 NW 58TH St #130
Doral, FL 33178

Mailing address

8980 W Flagler St. Apt. 213
Miami, FL 33174

National Provider Directory

National Provider Directory

Locations

9831 NW 58th St
Unit 130
Doral, FL 33178
Phone (305) 456-0529

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1043641269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8980 W FLAGLER ST. APT. 213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9831 NW 58TH ST #130",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33178",
            "telephone_number": "305-456-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE PERFORMANCE FITNESS CONSULTANTS PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "MANAGER-HEAD PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "305-904-7732",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "27898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.