Individual provider Active NPI

Shaun Carsten Corbett, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Miami, FL
National Provider Identifier
1124269824
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME 113242 Issued in FL
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

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120828000225 FL Practitioner - Physical Medicine and Rehabilitation 2163679002 Reassigns benefits to 4 organizations

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
Lipkin and Toledo PAGroup PAC ID 9032170584, 6 clinicians
Miami Jewish Health Systems IncGroup PAC ID 6507856614, 20 clinicians

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

LicenseStateTypeSpecialty
ME 113242FLMDPhysical Medicine & Rehabilitation Physician
TRN12682FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MJH Pain Group LLC CurrentSince Dec 17, 2025 Accepting new patients
Lipkin & Toledo PA Physical Medicine & Rehabilitation CurrentSince May 1, 2015 Accepting new patients
MJH Rehab Group LLC CurrentSince Dec 17, 2025 Accepting new patients
Miami Jewish Health Systems, Inc. CurrentSince May 1, 2015 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.

FacilityTypeRoleSince
Miami Jewish Health Systems IncMiami, FL, CCN 105030 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.

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.