Active NPI
Gavin Ravens
- Specialist
- Miami Beach, FL
National Provider Identifier
1205228780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 540 West Ave Apt 1412
Miami Beach, FL 33139-6782 - Phone
- (786) 631-0904
- NPI assigned
- Feb 20, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | |||
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
540 West Ave Apt 1412
Miami Beach, FL 33139-6782
Mailing address
540 West Ave Apt 1412
Miami Beach, FL 33139-6782
Phone (786) 631-0904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1205228780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 WEST AVE APT 1412",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331396782",
"telephone_number": "786-631-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 WEST AVE APT 1412",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331396782",
"telephone_number": "786-631-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVENS",
"first_name": "GAVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-20",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.