Active NPI
Patricio Andres Haberle, PT
- Physical Therapist
- Miami, FL
National Provider Identifier
1235974072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT41703
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics Pta, Inc. | Current | Accepting new patients | |
| Rehabclinics Pta, Inc. | Current | Accepting new patients | |
| Rehabclinics Pta, Inc. | Current | 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.
-
- Physical Therapy Clinic/Center
- Aventura, FL
- NPI 1003274168
-
- Physical Therapy Clinic/Center
- Plantation, FL
- NPI 1003358235
-
- Physical Therapy Clinic/Center
- North Miami Beach, FL
- NPI 1619419850
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.