Individual provider Active NPI

Patricio Andres Haberle, PT

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1235974072
Registry record updated Jul 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41703 Issued in FL
Practice address
2150 S Dixie Hwy Ste 100
Miami, FL 33133-2462
Phone
(917) 412-7487
NPI assigned
Jun 25, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2024

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 PT41703 FL Primary

Addresses

Primary practice location

2150 S Dixie Hwy Ste 100
Miami, FL 33133-2462

Mailing address

345 Ocean Dr Apt 404
Miami Beach, FL 33139-6915
Phone (917) 412-7487

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250227000576 FL Practitioner - Physical Therapist in Private Practice 6103346655 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics Pta, Inc. Current Accepting new patients
Rehabclinics Pta, Inc. CurrentSince Nov 11, 2024 Accepting new patients
Rehabclinics Pta, Inc. CurrentSince Nov 11, 2024 Accepting new patients

Locations

2150 S Dixie Hwy
Ste 100
Miami, FL 33133
Phone (305) 444-0909

13645 Biscayne Blvd
North Miami Beach, FL 33181
Phone (305) 949-2700

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720915200000",
    "number": "1235974072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 OCEAN DR APT 404",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396915",
            "telephone_number": "917-412-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S DIXIE HWY STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332462",
            "telephone_number": "917-412-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERLE",
        "first_name": "PATRICIO",
        "middle_name": "ANDRES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-07-14",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41703",
            "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 Jul 14, 2024; 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.