Individual provider Active NPI

Jonathan Gil, CTRS

  • Recreation Therapist
  • North Miami Beach, FL
National Provider Identifier
1073985461
Registry record updated Sep 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
Practice address
19221 NE 10TH Ave
North Miami Beach, FL 33179
Phone
(954) 599-4620
NPI assigned
Oct 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X FL Primary

Addresses

Primary practice location

19221 NE 10TH Ave
North Miami Beach, FL 33179

Mailing address

21 NW 1St Ave Unit 202
Dania Beach, FL 33004-1441
Phone (954) 599-4620

Other practice location 1

165 Sierra Dr
Miami, FL 33179-3267
Phone (954) 599-4620

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567814400000",
    "number": "1073985461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 NW 1ST AVE UNIT 202",
            "city": "DANIA BEACH",
            "state": "FL",
            "postal_code": "330041441",
            "telephone_number": "954-599-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19221 NE 10TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33179",
            "telephone_number": "954-599-4620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Sierra Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331793267",
            "country_code": "US",
            "telephone_number": "954-599-4620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIL",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "CTRS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-23",
        "last_updated": "2019-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2019; 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.