Individual provider Active NPI

Pedro Oliveira

  • Physical Therapist
  • Coral Gables, FL
National Provider Identifier
1205790730
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT44055 Issued in FL
Practice address
360 Granello Ave
Coral Gables, FL 33146-1883
Phone
(305) 420-5682
NPI assigned
Dec 10, 2025
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT44055 FL Primary

Addresses

Primary practice location

360 Granello Ave
Coral Gables, FL 33146-1883

Mailing address

21150 Biscayne Blvd Ste 406
Aventura, FL 33180-1250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260520004638 FL Practitioner - Physical Therapist in Private Practice 2163908021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Florida International Univ, College of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10081 SW 146TH CT
Miami, FL 33186-2916

21150 Biscayne Blvd
Suite 406
Aventura, FL 33180-1226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT44055FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
USA Sports Therapy South Miami Inc Physical Therapist CurrentSince Dec 14, 2025 Accepting new patients
VHW Medical Group LLC Physical Therapist PastSince Mar 2, 2026 Accepting new patients

Locations

360 Granello Ave
Coral Gables, FL 33146
Phone (305) 420-5682

3450 NW 83rd Ave
Ste 200
Doral, FL 33122
Phone (305) 479-2403

21150 Biscayne Blvd
Ste 406
Miami, FL 33180

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1205790730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21150 BISCAYNE BLVD STE 406",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 GRANELLO AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461883",
            "telephone_number": "305-420-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVEIRA",
        "first_name": "PEDRO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT44055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.