Active NPI
Miami Gardens Physical Therapy and Rehab Center, LLC
- Specialist
- Miami Gardens, FL
National Provider Identifier
1104208032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT4649
- Legal business name
- MIAMI GARDENS PHYSICAL THERAPY AND REHAB CENTER, LLC
- Practice address
- 2259 NW 167TH St
Miami Gardens, FL 33056-4638 - Phone
- (786) 318-8470
- NPI assigned
- Jun 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shalaine Murray
- Title
- Physical Therapist
- Phone
- (305) 952-3139
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT4649 | FL | Primary |
Addresses
Primary practice location
2259 NW 167TH St
Miami Gardens, FL 33056-4638
Mailing address
2259 NW 167TH St
Miami Gardens, FL 33056-4638
Phone (786) 318-8470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2259 NW 167th St
Miami Gardens, FL 33056
Phone (305) 889-9585
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Miramar, FL
- NPI 1730660531
-
- Physical Therapy Assistant
- Miami Gardens, FL
- NPI 1740714518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739923200000",
"number": "1104208032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2259 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330564638",
"telephone_number": "786-318-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2259 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330564638",
"telephone_number": "786-318-8470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIAMI GARDENS PHYSICAL THERAPY AND REHAB CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-27",
"last_updated": "2025-02-19",
"certification_date": "2025-02-12",
"status": "A",
"authorized_official_last_name": "MURRAY",
"authorized_official_first_name": "SHALAINE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "305-952-3139",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "PT4649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.