Individual provider Active NPI

Rod Ghanayem, D.P.T.

  • Physical Therapist
  • Miami Beach, FL
National Provider Identifier
1063187284
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37421 Issued in FL
Practice address
309 71St St
Miami Beach, FL 33141-3013
Phone
(305) 867-3925
Fax
(305) 867-3927
NPI assigned
Aug 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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 PT37421 FL Primary

Addresses

Primary practice location

309 71St St
Miami Beach, FL 33141-3013

Mailing address

2165 Van Buren St Apt 705
Hollywood, FL 33020-5194
Phone (207) 992-3311

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
PT37421FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1063187284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 VAN BUREN ST APT 705",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205194",
            "telephone_number": "207-992-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 71ST ST",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413013",
            "telephone_number": "305-867-3925",
            "fax_number": "305-867-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANAYEM",
        "first_name": "ROD",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.