Aso Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ASO PHYSICAL THERAPY INC

Practice address

21429 NW 13TH CT Apt 215
Miami Gardens, FL 33169-7413

Phone

(954) 895-9291

Fax

(305) 249-5477

NPI assigned

Oct 26, 2017

Organization subpart

No

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

Authorized official

Name

Uduak E Destine

Title

President

Phone

(954) 895-9291

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1104338466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21429 NW 13TH CT APT 215",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331697413",
            "telephone_number": "954-895-9291",
            "fax_number": "305-249-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21429 NW 13TH CT APT 215",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331697413",
            "telephone_number": "954-895-9291",
            "fax_number": "305-249-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASO PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "DESTINE",
        "authorized_official_first_name": "UDUAK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-895-9291"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.