NPIMap

Organization Active NPI

Charis Optical LLC

Doing business as Physical Therapy Now of North Miami

  • Clinic/Center
  • North Miami, FL
National Provider Identifier
1215411822
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHARIS OPTICAL LLC
Doing business as
Physical Therapy Now of North Miami
Practice address
2170 NE 123Rd St
North Miami, FL 33181-2902
Phone
(305) 570-1666
Fax
(305) 203-0546
NPI assigned
Sep 19, 2018
Reactivated
Jul 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
Barbara Dubois Brutus
Title
Owner
Phone
(305) 710-8820

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2170 NE 123Rd St
North Miami, FL 33181-2902

Mailing address

14870 SW 149TH St
Miami, FL 33196-2359

Other identifiers 1

IdentifierTypeStateIssuer
OT11471OtherFLMEDICAL LICENSE

Other names 1

  • Physical Therapy Now of North Miami Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL northmiami Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191204000096 FL Part B Supplier - Clinic/Group Practice 8729411830 Receives reassigned benefits from 7 practitioners
Practice locations: North Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1215411822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14870 SW 149TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 NE 123RD ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812902",
            "telephone_number": "305-570-1666",
            "fax_number": "305-203-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIS OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2019-07-19",
        "deactivation_date": "2019-07-03",
        "reactivation_date": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "DUBOIS BRUTUS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-710-8820"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OT11471",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "northmiami",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2170 NE 123rd St",
            "city": "North Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331812902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Physical Therapy Now of North Miami",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 19, 2019; 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.