Organization Active NPI

Rewired Therapy LLC

  • Anesthesiology Physician
  • North Miami, FL
National Provider Identifier
1184335069
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
REWIRED THERAPY LLC
Practice address
12550 Biscayne Blvd Ste 304
North Miami, FL 33181-2537
Phone
(305) 397-8623
NPI assigned
Dec 12, 2022
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Dr. Jacob Silverstone, DPMNPI 1952555948
Title
MGR
Phone
(305) 676-6070

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
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

12550 Biscayne Blvd Ste 304
North Miami, FL 33181-2537

Mailing address

2820 NE 214TH St Ste 1002
Aventura, FL 33180-1270
Phone (305) 626-6070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250318000509 FL Part B Supplier - Clinic/Group Practice 9830611052 Receives reassigned benefits from 1 practitioner
Practice locations: Aventura, FL

National Provider Directory

National Provider Directory

Locations

2820 NE 214th St
Ste 1002
Miami, FL 33180
Phone (305) 504-2911

Practitioners & affiliated clinicians

Practitioners 2

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": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1184335069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 NE 214TH ST STE 1002",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801270",
            "telephone_number": "305-626-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BLVD STE 304",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812537",
            "telephone_number": "305-397-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REWIRED THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "SILVERSTONE",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "305-676-6070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.