NPIMap

Organization Active NPI

Dade Physical Therapy Inc

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1225110661
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 5204 Issued in FL
Legal business name
DADE PHYSICAL THERAPY INC
Practice address
8603 S Dixie Hwy
Suite 308
Miami, FL 33143-7807
Phone
(305) 661-1441
Fax
(305) 661-1443
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
William Gutierrez, M.S.,P.T., O.C.S.
Title
Director
Phone
(305) 661-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 5204 FL Primary

Addresses

Primary practice location

8603 S Dixie Hwy
Suite 308
Miami, FL 33143-7807

Mailing address

8603 S Dixie Hwy
Suite 308
Miami, FL 33143-7807
Phone (305) 661-1441

Other identifiers 1

IdentifierTypeStateIssuer
1225110661OtherFLNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070123000374 FL Part B Supplier - Clinic/Group Practice 0244231900 Receives reassigned benefits from 8 practitioners
Practice locations: Pinecrest, FL

National Provider Directory

National Provider Directory

Locations

8603 S Dixie Hwy
Ste 308
Pinecrest, FL 33156
Phone (305) 661-1441

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1225110661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8603 S DIXIE HWY",
            "address_2": "SUITE 308",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437807",
            "telephone_number": "305-661-1441",
            "fax_number": "305-661-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8603 S DIXIE HWY",
            "address_2": "SUITE 308",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437807",
            "telephone_number": "305-661-1441",
            "fax_number": "305-661-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-661-1441",
        "authorized_official_credential": "M.S.,P.T., O.C.S."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 5204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225110661",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "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 Nov 11, 2010; 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.