Individual provider Active NPI

Ellis Okyle, D.P.T.

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1083775472
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22877 Issued in FL
Practice address
2320 SW 31 Ave.
Miami, FL 33145
Phone
(305) 389-2568
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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 22877 FL Primary

Addresses

Primary practice location

2320 SW 31 Ave.
Miami, FL 33145

Mailing address

6215 SW 59TH St
South Miami, FL 33143-2105
Phone (305) 389-2568

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141110000695 FL Practitioner - Physical Therapist in Private Practice 6002038916 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians
South Miami Spine and Joint LLCGroup PAC ID 3173898418, 2 clinicians

Practice addresses (Care Compare)

2260 NE 123Rd St
North Miami, FL 33181-2904
Phone (786) 629-0910

6125 SW 31St St
Miami, FL 33155-3003
Phone (305) 666-6511

7000 SW 62ND Ave
Suite 201
South Miami, FL 33143-4716
Phone (305) 595-1095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22877FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Miami Spine and Joint LLC CurrentSince Mar 6, 2018 Accepting new patients
Charis Optical LLC Physical Therapist CurrentSince Apr 25, 2025 Accepting new patients

Locations

1075 NE 125th St
Ste 102
North Miami, FL 33161

2170 NE 123rd St
North Miami, FL 33181
Phone (716) 245-6555

7000 SW 62nd Ave
Ste 201
South Miami, FL 33143
Phone (305) 595-1095

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1083775472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 SW 59TH ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331432105",
            "telephone_number": "305-389-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 SW 31 AVE.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33145",
            "telephone_number": "305-389-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKYLE",
        "first_name": "ELLIS",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "22877",
            "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 Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.