Organization Active NPI

Miami Gardens Physical Therapy and Rehab Center, LLC

  • Specialist
  • Miami Gardens, FL
National Provider Identifier
1104208032
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT4649 Issued in FL
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

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Ms. Shalaine MurrayNPI 1740714518
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20250122000217 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8325309651 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Gardens, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.