Organization Active NPI

Physio2Restore, Corp.

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1063004042
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSIO2RESTORE, CORP.
Practice address
11430 N Kendall Dr Ste 110
Miami, FL 33176-1041
Phone
(786) 541-7848
NPI assigned
Feb 10, 2021
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Nosleidy Ramirez - Barzaga, PTNPI 1720646359
Title
Owner
Phone
(786) 541-7848

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

11430 N Kendall Dr Ste 110
Miami, FL 33176-1041

Mailing address

11430 N Kendall Dr Ste 110
Miami, FL 33176-1041
Phone (786) 541-7848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220514000295 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5890172779 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

11430 N Kendall Dr
Ste 110
Miami, FL 33176
Phone (786) 541-7848

Practitioners & affiliated clinicians

Practitioners 2

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": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1063004042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11430 N KENDALL DR STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761041",
            "telephone_number": "786-541-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11430 N KENDALL DR STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761041",
            "telephone_number": "786-541-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO2RESTORE, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2023-08-31",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ - BARZAGA",
        "authorized_official_first_name": "NOSLEIDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-541-7848",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 31, 2023; 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.