Individual provider Active NPI

Marie Melissa Shabani, MSPT

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1093995169
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22463 Issued in FL
Practice address
4284 SW 161St PL
Miami, FL 33185-3826
Phone
(305) 228-6252
Fax
(305) 228-6251
NPI assigned
Nov 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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 PT22463 FL Primary

Addresses

Primary practice location

4284 SW 161St PL
Miami, FL 33185-3826

Mailing address

4284 SW 161St PL
Miami, FL 33185-3826
Phone (305) 228-6252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200917000661 FL Practitioner - Physical Therapist in Private Practice 8426476839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morningside Physical Therapy LLCGroup PAC ID 6608294004, 3 clinicians

Practice addresses (Care Compare)

7924 NE 2ND Ave
Suite 101
Miami, FL 33138-4462
Phone (305) 677-8262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Morningside Physical Therapy LLC Physical Therapist CurrentSince Aug 1, 2020 Accepting new patients
B & V Thera Pro Associates Corp Physical Therapist Past Accepting new patients

Locations

7924 NE 2nd Ave
Ste 101
Miami, FL 33138
Phone (305) 677-8262

Organizations & group practices 2

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": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1093995169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4284 SW 161ST PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331853826",
            "telephone_number": "305-228-6252",
            "fax_number": "305-228-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4284 SW 161ST PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331853826",
            "telephone_number": "305-228-6252",
            "fax_number": "305-228-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABANI",
        "first_name": "MARIE",
        "middle_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22463",
            "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 Aug 5, 2020; 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.