Organization Active NPI

Advanced Recovery Rehab Corp.

  • Rehabilitation Practitioner
  • Miami, FL
National Provider Identifier
1114515319
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
ADVANCED RECOVERY REHAB CORP.
Practice address
10300 SW 72ND St Ste 190
Miami, FL 33173-3040
Phone
(305) 639-8292
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Alvaro Alejandro AgueroNPI 1851946149
Title
PT
Phone
(305) 639-8292

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225400000X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

10300 SW 72ND St Ste 190
Miami, FL 33173-3040

Mailing address

10300 SW 72ND St Ste 190
Miami, FL 33173-3040
Phone (305) 639-8292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251215002948 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6901211515 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

10300 SW 72nd St
Ste 190
Miami, FL 33173
Phone (305) 343-0841

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": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1114515319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 190",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733040",
            "telephone_number": "305-639-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 190",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733040",
            "telephone_number": "305-639-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RECOVERY REHAB CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "AGUERO",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_middle_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "305-639-8292"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.