Organization Active NPI

Premier Quality Physical Therapy Inc

  • Rehabilitation Clinic/Center
  • Hialeah Gardens, FL
National Provider Identifier
1073559571
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PREMIER QUALITY PHYSICAL THERAPY INC
Practice address
11300 NW 87TH CT
Ste 117- 119
Hialeah Gardens, FL 33018-4586
Phone
(305) 819-9755
Fax
(305) 819-9753
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Idalmi D Perera
Title
President
Phone
(305) 819-9755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

11300 NW 87TH CT
Ste 117- 119
Hialeah Gardens, FL 33018-4586

Mailing address

11300 NW 87TH CT
Ste 117- 119
Hialeah Gardens, FL 33018-4586
Phone (305) 819-9755

National Provider Directory

National Provider Directory

Locations

11300 NW 87th Ct
Ste 117
Hialeah Gdns, FL 33018
Phone (305) 819-9755

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073559571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 NW 87TH CT",
            "address_2": "STE 117- 119",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184586",
            "telephone_number": "305-819-9755",
            "fax_number": "305-819-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 NW 87TH CT",
            "address_2": "STE 117- 119",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184586",
            "telephone_number": "305-819-9755",
            "fax_number": "305-819-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER QUALITY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERERA",
        "authorized_official_first_name": "IDALMI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-819-9755"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.