Organization Active NPI

Dr Claudius Galen Therapy Center,Inc

  • Specialist
  • Hialeah, FL
National Provider Identifier
1093015471
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OT 13096 Issued in FL
Legal business name
DR CLAUDIUS GALEN THERAPY CENTER,INC
Practice address
489 Hialeah Dr Ste 10
Hialeah, FL 33010-5320
Phone
(786) 953-6302
Fax
(786) 953-6664
NPI assigned
Nov 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Ms. Barbara Medina, OTR
Title
Owner/President
Phone
(786) 662-9188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X OT 13096 FL Primary

Addresses

Primary practice location

489 Hialeah Dr Ste 10
Hialeah, FL 33010-5320

Mailing address

489 Hialeah Dr Ste 10
Hialeah, FL 33010-5320
Phone (786) 953-6302

Other identifiers 3

IdentifierTypeStateIssuer
001958200MedicaidFL
1700042595OtherFLNATIONAL PROVIDER IDENTIFIER( NPI)
002900800MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1093015471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 HIALEAH DR STE 10",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105320",
            "telephone_number": "786-953-6302",
            "fax_number": "786-953-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 HIALEAH DR STE 10",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105320",
            "telephone_number": "786-953-6302",
            "fax_number": "786-953-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CLAUDIUS GALEN THERAPY CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "786-662-9188",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OT 13096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001958200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER( NPI)",
            "identifier": "1700042595",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002900800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.