Stinky Feet LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27881 Issued in FL

Legal business name

STINKY FEET LLC

Practice address

4101 Pine Tree Dr
1731
Miami Beach, FL 33140-3628

Phone

(305) 934-3698

NPI assigned

Nov 27, 2014

Organization subpart

No

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

Authorized official

Name

David Barouche, P.T.

Title

Physical Therapist

Phone

(305) 934-3698

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1417046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417046400000",
    "number": "1124425665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 PINE TREE DR",
            "address_2": "1731",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403628",
            "telephone_number": "305-934-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 PINE TREE DR",
            "address_2": "1731",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403628",
            "telephone_number": "305-934-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STINKY FEET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-27",
        "last_updated": "2014-11-27",
        "status": "A",
        "authorized_official_last_name": "BAROUCHE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "305-934-3698",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2014; 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.