NPIMap

Organization Active NPI

Doral Physical Therapy L.L.C.

  • Physical Therapy Clinic/Center
  • Doral, FL
National Provider Identifier
1194129908
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT18067 Issued in FL
Legal business name
DORAL PHYSICAL THERAPY L.L.C.
Practice address
3655 NW 107TH Ave
#107
Doral, FL 33178-4327
Phone
(305) 722-0568
Fax
(305) 670-0899
NPI assigned
Oct 22, 2014
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
Mr. Ronald Rani Yacoub, MSPTNPI 1174642110
Title
Owner
Phone
(305) 722-0568

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 PT18067 FL Primary

Addresses

Primary practice location

3655 NW 107TH Ave
#107
Doral, FL 33178-4327

Mailing address

PO Box 331934
Miami, FL 33233-1934
Phone (305) 722-0568

Other names 1

  • Doral Physical Therapy Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150630000515 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2860704194 Receives reassigned benefits from 19 practitioners
Practice locations: Doral, FL

National Provider Directory

National Provider Directory

Locations

3655 NW 107th Ave
Ste 107
Doral, FL 33178
Phone (786) 452-0774

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1194129908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331934",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332331934",
            "telephone_number": "305-722-0568",
            "fax_number": "305-670-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 NW 107TH AVE",
            "address_2": "#107",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784327",
            "telephone_number": "305-722-0568",
            "fax_number": "305-670-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL PHYSICAL THERAPY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "YACOUB",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "RANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-722-0568",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT18067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doral Physical Therapy Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Doral, 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.