Organization Active NPI

Versace Rehabilitation Inc.

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1063717031
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10539 Issued in FL
Legal business name
VERSACE REHABILITATION INC.
Practice address
1 Glen Royal Pkwy
1105
Miami, FL 33125-5287
Phone
(305) 300-6011
Fax
(305) 468-3309
NPI assigned
Jan 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Vivian M Versace, RPT
Title
Ceo
Phone
(305) 300-6011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT10539 FL Primary

Addresses

Primary practice location

1 Glen Royal Pkwy
1105
Miami, FL 33125-5287

Mailing address

1 Glen Royal Pkwy
1105
Miami, FL 33125-5287
Phone (305) 300-6011

National Provider Directory

National Provider Directory

Locations

9000 NW 25th St
Doral, FL 33172
Phone (305) 300-6011

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1063717031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GLEN ROYAL PKWY",
            "address_2": "1105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255287",
            "telephone_number": "305-300-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GLEN ROYAL PKWY",
            "address_2": "1105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255287",
            "telephone_number": "305-300-6011",
            "fax_number": "305-468-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERSACE REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "VERSACE",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-300-6011",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10539",
            "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 21, 2011; 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.