Active NPI
Karen Viviana Rea, PT
- Physical Therapist
- San Antonio, FL
National Provider Identifier
1104616770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42380
- Practice address
- 10314 Lavender Aster TRL
San Antonio, FL 33576-7347 - Phone
- (954) 449-5478
- NPI assigned
- May 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 42380 | FL | Primary |
Addresses
Primary practice location
10314 Lavender Aster TRL
San Antonio, FL 33576-7347
Mailing address
10314 Lavender Aster TRL
San Antonio, FL 33576-7347
Phone (954) 449-5478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
21005 NE 19TH CT
Miami, FL 33179-1511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42380 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sobe Innovative Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
Locations
2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014
Organizations & group practices 1
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.
-
- Physical Therapist
- Miami, FL
- NPI 1164800595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1104616770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10314 LAVENDER ASTER TRL",
"city": "SAN ANTONIO",
"state": "FL",
"postal_code": "335767347",
"telephone_number": "954-449-5478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10314 LAVENDER ASTER TRL",
"city": "SAN ANTONIO",
"state": "FL",
"postal_code": "335767347",
"telephone_number": "954-449-5478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REA",
"first_name": "KAREN",
"middle_name": "VIVIANA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-08",
"last_updated": "2025-05-08",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "42380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.