NPIMap

Organization Active NPI

Pinecrest Wellness L.L.C.

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1134767296
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PINECREST WELLNESS L.L.C.
Practice address
9100 N Kendall Dr FL 1
Miami, FL 33176-2121
Phone
(305) 929-0134
Fax
(305) 670-0899
NPI assigned
Dec 19, 2019
Last updated
Jun 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Authorized official

Name
Ronald YacoubNPI 1174642110
Title
Owner
Phone
(954) 326-0589

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

9100 N Kendall Dr FL 1
Miami, FL 33176-2121

Mailing address

PO Box 331942
Miami, FL 33233-1942
Phone (305) 929-0134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221128002616 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5092183822 Receives reassigned benefits from 11 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

9100 N Kendall Dr
Miami, FL 33176

9100 N Kendall Dr
Fl 1
Miami, FL 33176
Phone (305) 929-0134

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1134767296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331942",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332331942",
            "telephone_number": "305-929-0134",
            "fax_number": "305-670-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 N KENDALL DR FL 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762121",
            "telephone_number": "305-929-0134",
            "fax_number": "305-670-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINECREST WELLNESS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "YACOUB",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-326-0589"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Jun 24, 2026; 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.