Active NPI
Shaun Carsten Corbett, M.D.
- Physical Medicine & Rehabilitation Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME 113242
- Practice address
- 1500 NW 12TH Ave
JMT 14TH 1409a West BLDG (D461)
Miami, FL 33136-1051 - Phone
- (305) 243-3654
- NPI assigned
- Mar 10, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | TRN12682 | FL | |
| Physical Medicine & Rehabilitation Physician | 208100000X | ME 113242 | FL | Primary |
Addresses
Primary practice location
1500 NW 12TH Ave
JMT 14TH 1409a West BLDG (D461)
Miami, FL 33136-1051
Mailing address
1500 NW 12TH Ave
Miami, FL 33136-1051
Phone (714) 390-2090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Medical College of Wisconsin, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4302 Alton Rd
Suite 420
Miami Beach, FL 33140-2849
Phone (305) 672-1256
5200 NE 2ND Ave
Miami, FL 33137-2706
Phone (305) 762-1387
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 113242 | FL | MD | Physical Medicine & Rehabilitation Physician |
| TRN12682 | FL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MJH Pain Group LLC | Current | Accepting new patients | |
| Lipkin & Toledo PA | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| MJH Rehab Group LLC | Current | Accepting new patients | |
| Miami Jewish Health Systems, Inc. | Current | Accepting new patients |
Locations
5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387
4302 Alton Rd
Ste 240
Miami Beach, FL 33140
4302 Alton Rd
Ste 420
Miami Beach, FL 33140
Phone (305) 531-1664
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Miami Jewish Health Systems Inc | Skilled nursing facility | Corporate Director Adp of the SNF |
Oct 25, 2019 Oct 25, 2019 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Miami, FL
- NPI 1821093451
Adp of the SNF, Corporate Director
Organizations & group practices 4
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.
-
dba Associates in Rehabilitation
- Physical Medicine & Rehabilitation Physician
- Miami Beach, FL
- NPI 1578699518
-
- General Acute Care Hospital
- Miami, FL
- NPI 1851440218
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Miami, FL
- NPI 1053293993
-
- Physical Therapist
- Miami, FL
- NPI 1376425215
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miami, FL
- NPI 1851440218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1124269824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361051",
"telephone_number": "714-390-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 NW 12TH AVE",
"address_2": "JMT 14TH 1409A WEST BLDG (D461)",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361051",
"telephone_number": "305-243-3654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBETT",
"first_name": "SHAUN",
"middle_name": "CARSTEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-10",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "TRN12682",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME 113242",
"primary": true
}
],
"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 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.