Organization Active NPI

Evolution Rehabilitation Center Inc

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1184339343
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
EVOLUTION REHABILITATION CENTER INC
Practice address
25 SE 2ND Ave Ste 550
Miami, FL 33131-1601
Phone
(786) 292-6307
NPI assigned
Jan 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Fernando Lora, MD
Title
Owner
Phone
(786) 292-6307

Specialties & licenses 1

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

Addresses

Primary practice location

25 SE 2ND Ave Ste 550
Miami, FL 33131-1601

Mailing address

25 SE 2ND Ave Ste 550
Miami, FL 33131-1601
Phone (786) 292-6307

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL FLORIDA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1184339343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SE 2ND AVE STE 550",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331311601",
            "telephone_number": "786-292-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SE 2ND AVE STE 550",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331311601",
            "telephone_number": "786-292-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "LORA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-292-6307",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "FLORIDA",
            "affiliation": "N",
            "address_1": "25 SE 2nd Ave Ste 550",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331311601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 20, 2023; 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.