Active NPI
Amm Rehabilitation
- Physical Medicine & Rehabilitation Physician
- Cooper City, FL
National Provider Identifier
1164967832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT-24885
- Legal business name
- AMM REHABILITATION
- Practice address
- 12330 SW 53Rd St
#708
Cooper City, FL 33330-3319 - Phone
- (410) 487-1774
- NPI assigned
- Jan 4, 2017
- Last updated
- Jan 4, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Marie Marinez, DPT
- Title
- Physical Therapist
- Phone
- (410) 487-1774
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT-24885 | FL | Primary |
Addresses
Primary practice location
12330 SW 53Rd St
#708
Cooper City, FL 33330-3319
Mailing address
12157 NW 34TH St
Sunrise, FL 33323-3311
Phone (410) 487-1774
National Provider Directory
National Provider Directory- Tax ID family
- Amm Rehabilitation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Sunrise, FL
- NPI 1861935116
Locations
12330 SW 53rd St
Ste 708
Cooper City, FL 33330
Phone (410) 487-1774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483488000000",
"number": "1164967832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12157 NW 34TH ST",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333233311",
"telephone_number": "410-487-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12330 SW 53RD ST",
"address_2": "#708",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333303319",
"telephone_number": "410-487-1774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMM REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-04",
"last_updated": "2017-01-04",
"status": "A",
"authorized_official_last_name": "MARINEZ",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "410-487-1774",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "PT-24885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cooper City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.