Organization Active NPI

Nextgen Physical Therapy, P.a.

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1053716647
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT29193 Issued in FL
Legal business name
NEXTGEN PHYSICAL THERAPY, P.A.
Practice address
7358 SW 107TH Ave
Miami, FL 33173-2715
Phone
(786) 534-9846
Fax
(786) 534-7246
NPI assigned
Oct 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Javier A Obregon, DPTNPI 1528479557
Title
President
Phone
(786) 534-9846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT29193 FL Primary

Addresses

Primary practice location

7358 SW 107TH Ave
Miami, FL 33173-2715

Mailing address

7358 SW 107TH Ave
Miami, FL 33173-2715
Phone (786) 534-9846

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150610000314 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9133440548 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

11400 N Kendall Dr
Ste 206
Miami, FL 33176
Phone (786) 534-9846

7358 SW 107th Ave
Miami, FL 33173
Phone (786) 534-9846

Practitioners & affiliated clinicians

Practitioners 3

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": "1414281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1053716647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7358 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732715",
            "telephone_number": "786-534-9846",
            "fax_number": "786-534-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7358 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732715",
            "telephone_number": "786-534-9846",
            "fax_number": "786-534-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTGEN PHYSICAL THERAPY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-26",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "OBREGON",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-534-9846",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT29193",
            "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 Jan 23, 2015; 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.