Activa Rehab Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22532 Issued in FL

Legal business name

ACTIVA REHAB THERAPY INC

Practice address

7861 NW 170TH St
Hialeah, FL 33015-3860

Phone

(786) 295-9334

Fax

(305) 556-9744

NPI assigned

Oct 4, 2007

Last updated

May 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Maria Beatriz Rojas, M.S.P.T

Title

President

Phone

(786) 295-9334

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1114115052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7861 NW 170TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153860",
            "telephone_number": "786-295-9334",
            "fax_number": "305-556-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7861 NW 170TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153860",
            "telephone_number": "786-295-9334",
            "fax_number": "305-556-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVA REHAB THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "BEATRIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-295-9334",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "AH294",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.