Organization Active NPI

Aventura Wellness and Rehab Center, Inc.

  • Rehabilitation Chiropractor
  • Aventura, FL
National Provider Identifier
1083815286
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
501515-1 Issued in FL
Legal business name
AVENTURA WELLNESS AND REHAB CENTER, INC.
Practice address
2440 NE Miami Gardens Dr
Suite 101
Aventura, FL 33180-2734
Phone
(305) 705-0777
Fax
(305) 705-9978
NPI assigned
May 29, 2007
Last updated
Sep 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Bernard A. Greaux, D.C.NPI 1346281854
Title
Clinic Director
Phone
(305) 705-0777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 501515-1 FL Primary

Addresses

Primary practice location

2440 NE Miami Gardens Dr
Suite 101
Aventura, FL 33180-2734

Mailing address

2440 NE Miami Gardens Dr
Suite 101
Aventura, FL 33180-2734
Phone (305) 705-0777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041015000243 FL Part B Supplier - Clinic/Group Practice 7315907169 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

2420 NE Miami Gardens Dr
Ste 200
Miami, FL 33180

2440 NE Miami Gardens Dr
Ste 101
Miami, FL 33180
Phone (305) 705-0777

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1083815286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 NE MIAMI GARDENS DR",
            "address_2": "SUITE 101",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802734",
            "telephone_number": "305-705-0777",
            "fax_number": "305-705-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 NE MIAMI GARDENS DR",
            "address_2": "SUITE 101",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802734",
            "telephone_number": "305-705-0777",
            "fax_number": "305-705-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENTURA WELLNESS AND REHAB CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "GREAUX",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "305-705-0777",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "501515-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.