NPIMap

Organization Active NPI

Optimum Rehabilitation Center Inc

  • Rehabilitation Clinic/Center
  • Miami, FL
National Provider Identifier
1225334956
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
OT12171 Issued in FL
Legal business name
OPTIMUM REHABILITATION CENTER INC
Practice address
12039 SW 132ND CT
5
Miami, FL 33186-4783
Phone
(786) 417-1303
Fax
(305) 232-9693
NPI assigned
Jan 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Lyanet L De la Cotera, OTR/L
Title
Administrator
Phone
(786) 417-1303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X OT12171 FL Primary

Addresses

Primary practice location

12039 SW 132ND CT
5
Miami, FL 33186-4783

Mailing address

12039 SW 132ND CT
5
Miami, FL 33186-4783
Phone (786) 417-1303

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1225334956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12039 SW 132ND CT",
            "address_2": "5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864783",
            "telephone_number": "786-417-1303",
            "fax_number": "305-232-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12039 SW 132ND CT",
            "address_2": "5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864783",
            "telephone_number": "786-417-1303",
            "fax_number": "305-232-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "DE LA COTERA",
        "authorized_official_first_name": "LYANET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-417-1303",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "OT12171",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 27, 2011; 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.