Sobe Innovative Rehabilitation PLLC
Organization Active NPI Physical Therapist · Miami, FL
NPI 1164800595 · NPPES record last updated Jul 11, 2019
Key facts
- NPI
- 1164800595
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- SOBE INNOVATIVE REHABILITATION PLLC
- Practice address
- 21005 NE 19TH CT
Miami, FL 33179-1511 - Phone
- (585) 354-3847
- Fax
- (305) 397-1219
- NPI assigned
- May 18, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Nkume Sobe Jr., DPT
- Title
- Owner
- Phone
- (585) 354-3847
Practitioners 347
-
Sabrina Aisha Agha, OTR/L
-
Nardia Aldridge, OT
-
Daili Aloma, OT/R
-
Ana Maria Alvarez, OTR/L
-
Susan Sylvi Anderson, MSOTR/L
-
Robert Ammons Bell Jr., OTR/L
-
Laura Bloznalis, PT
-
Nikkira Brown, DPT
-
Seth Robert Burgman, OTR
-
Alex Butcher, MS OT/L
-
Karen Jane Colwell, MA OTRL CLT
-
Stephanie Crawford, M.S.,CCC-SLP
-
Nancee Sue Davis-Sharkey, P.T.
-
Carlos De Jesus, DPT
-
Thaiany A De Mendonca, OTR/L
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151110002827 | FL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 4789994336 |
Receives reassigned benefits from 316 practitioners Practice locations: Palm Beach Gardens, FL; Winter Park, FL; Tarpon Springs, FL; Tampa, FL; Tamarac, FL; Sunrise, FL; Stuart, FL; Port Saint Lucie, FL… |
| O20201210001572 | NC | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 4789994336 |
Receives reassigned benefits from 1 practitioner Practice locations: Charlotte, NC |
National Provider Directory
Locations
1080 NW 15th St
Boca Raton, FL 33486
Phone (561) 330-8451
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
21005 NE 19TH CT
Miami, FL 33179-1511
Mailing address
3029 NE 188TH St Apt 1110
Aventura, FL 33180-2874
Phone (585) 354-3847
Other practice location 1
3029 NE 188th St Apt 1110
Aventura, FL 33180-2874
Phone (585) 354-3847
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.