Michell Pavoni, LMT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Practice address

2301 Coral Way Ste 815
Miami, FL 33145-3510

Phone

(305) 342-1265

NPI assigned

Jan 19, 2011

Last updated

Oct 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Max Physical Therapy Inc.

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1396460697
  NPD Authorized official

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665273600000",
    "number": "1225333461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CORAL WAY STE 815",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453510",
            "telephone_number": "305-342-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CORAL WAY STE 815",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453510",
            "telephone_number": "305-342-1265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7585 SW 152nd Ave Apt G108",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331932373",
            "country_code": "US",
            "telephone_number": "305-342-1265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVONI",
        "first_name": "MICHELL",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-19",
        "last_updated": "2022-10-09",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA61559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Angel Pavon
• Lorely Clara Pavon, APRN-BC
• Tania Y Pavon, FNP, WCS, RN
• Regina M Pavone, PH.D.
• Claudia Pavoni Perez
• Vilma Pavoni
• Bozena Pawelek, DPM
• Melissa Sue Pawlicki, LCSW
• Payan Medical Supplies
• Mirna Payan-Garcia, A.R.N.P.

• Physical Therapy Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.